Organization
ARC KENTUCKY LLC
Active
Other names
DUPONT SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
4004 DUPONT CIR, LOUISVILLE, KY 40207-4819
(502) 896-6428
(502) 895-6787
Mailing address
4004 DUPONT CIR, LOUISVILLE, KY 40207-4819
(502) 896-6428
(502) 895-6787
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
300070
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36001188
—
KY
Enumeration date
06/02/2005
Last updated
08/14/2024
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