Organization
KENTUCKY SURGICAL ASSISTANT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY LEE SMITH CSA, KCSA (OWNER)
(606) 526-8700
Entity
Organization
Contact information
Practice address
399 MARSEE TRL, CORBIN, KY 40701-8895
(606) 526-8700
Mailing address
399 MARSEE TRL, CORBIN, KY 40701-8895
(606) 526-8700
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA-111
KY
Other
Enumeration date
09/16/2006
Last updated
09/09/2013
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