Organization
KENTUCKY CARDIOVASCULAR CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUKESH GUPTA M.D. (PRESIDENT OF CORPORATION)
(270) 926-2998
Entity
Organization
Contact information
Practice address
2200 E PARRISH AVE, BLDG B, LL103, OWENSBORO, KY 42303-1449
(270) 926-2998
(270) 852-1653
Mailing address
2200 E PARRISH AVE, BLDG B, LL103, OWENSBORO, KY 42303-1449
(270) 926-2998
(270) 852-1653
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
32463
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100014630
—
KY
Enumeration date
10/03/2007
Last updated
09/17/2016
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