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Organization

CENTRAL KENTUCKY ADULT & PEDIATRIC UROLOGY PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MAE MARIE HILL (OFFICE MANAGER)
(502) 868-7666
Entity
Organization

Contact information

Practice address
1138 LEXINGTON RD, SUITE 110, GEORGETOWN, KY 40324-9672
(502) 868-7666
(502) 868-8060
Mailing address
1138 LEXINGTON RD, SUITE 110, GEORGETOWN, KY 40324-9672
(502) 868-7666
(502) 868-8060

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
32238
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
65900581
KY
Enumeration date
02/28/2007
Last updated
06/25/2012
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