Organization · Type 2 NPI
Kentucky Lake Surgery Center LLC
Ambulatory Surgical Clinic/Center · Paris, TN
NPI number
1033102397
Active
Practice location
1002 Cornerstone Dr, Suite B
Paris, TN 38242-5812
Fax (731) 644-0474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 0000000118 (TN) |
Ambulatory Surgical Clinic/Center: Definition to come...
3 other providers at this address
Other ambulatory surgical clinic/center providers in Paris
About NPI 1033102397
Kentucky Lake Surgery Center LLC's National Provider Identifier is 1033102397, issued on Aug 23, 2005. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Paris, TN. The record was last updated on Jan 28, 2011.