Organization
FAITH BASED SURGICAL ASSISTING,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY WALL KCSA (OWNER)
(859) 986-0027
Entity
Organization
Contact information
Practice address
867 DREYFUS RD, BEREA, KY 40403-9619
(502) 454-7788
(502) 451-9291
Mailing address
867 DREYFUS RD, BEREA, KY 40403-9619
(859) 986-0027
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
11/27/2018
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