| Kentucky Mso, Llc | |
|
1140 Lexington Rd Georgetown KY 40324-9330 | |
| (855) 876-2412 | |
| (502) 570-5610 |
| Full Name | Kentucky Mso, Llc |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 1140 Lexington Rd, Georgetown, Kentucky |
| Authorized Official Name and Position | Monica Bowman (PRESIDENT) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Mso, Llc 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Kentucky Mso, Llc 1140 Lexington Rd Georgetown KY 40324-9330 Ph: (855) 876-2412 |
| NPI Number | 1679902340 |
|---|---|
| Provider Enumeration Date | 11/04/2013 |
| Last Update Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679902340 | NPI | - | NPPES |
| K013930 | Other | KY | MEDICARE |
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