Organization
CENTRAL KENTUCKY ADVANCED SURGERY &
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS EDGAR SONNANSTINE IV MD (OWNER)
(502) 867-3303
Entity
Organization
Contact information
Practice address
1138 LEXINGTON RD, SUITE 230, GEORGETOWN, KY 40324-9672
(502) 867-3303
(502) 867-3304
Mailing address
1138 LEXINGTON RD, SUITE 230, GEORGETOWN, KY 40324-9672
(502) 867-3303
(502) 867-3304
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38960
KY
Other
Enumeration date
03/23/2009
Last updated
04/28/2009
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