Organization
PCN SURGICAL SUITES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELMER E DUNBAR MD (CEO)
(502) 897-3500
Entity
Organization
Contact information
Practice address
6400 DUTCHMANS PKWY, SUITE 60, LOUISVILLE, KY 40205-3340
(502) 897-3500
Mailing address
PO BOX 7587, LOUISVILLE, KY 40257-0587
(866) 256-8453
(502) 471-2049
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36001428
—
KY
Enumeration date
09/12/2005
Last updated
04/16/2009
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