Organization
SOUTH KENTUCKY PHYSICIAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY LEDFORD PARTIN MD (CHIEF MEDICAL OFFICER)
(270) 634-1921
Entity
Organization
Contact information
Practice address
202-206 MILBY STREET, GREENSBURG, KY 42743
(270) 634-1921
Mailing address
1597 BLISS RD, COLUMBIA, KY 42728-8510
(270) 634-1921
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25262
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64252638
—
KY
Enumeration date
12/01/2011
Last updated
04/07/2017
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