Individual
DR. NATHAN SCOTT KUSTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 NICHOLASVILLE RD STE 601, LEXINGTON, KY 40503-1451
(859) 277-5887
(859) 276-7659
Mailing address
230 LEXINGTON GREEN CIR STE 600, LEXINGTON, KY 40503-3326
(598) 971-4658
(859) 971-5460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47174
KY
207RC0000X
Cardiovascular Disease Physician
Primary
47174
KY
208M00000X
Hospitalist Physician
47174
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100265480
—
KY
Enumeration date
05/24/2011
Last updated
12/07/2020
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