Organization
BARIATRIC SURGICAL ASSOCIATES,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN J. NIGHBERT M.D. (PRESIDENT)
(859) 967-5520
Entity
Organization
Contact information
Practice address
1401 HARRODSBURG RD, SUITE C100, LEXINGTON, KY 40504-3751
(859) 278-4960
(859) 278-0033
Mailing address
160 N EAGLE CREEK DR, SUITE 201, LEXINGTON, KY 40509-2121
(859) 967-5520
(859) 967-5444
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD1130
RRMC GROUP
KY
Enumeration date
05/15/2006
Last updated
12/13/2007
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