Organization · Type 2 NPI

Kentucky Mso LLC

Gastroenterology Physician · Georgetown, KY

NPI number 1164867883 Active

Practice location

1138 Lexington Rd, Suite 140
Georgetown, KY 40324-9672

Call (502) 570-3721 Map

Fax (502) 570-3722

Other practice locations

138 Professional Ave, Winchester, KY 40391-1116 · (505) 570-3751

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
Gastroenterology Physician Primary	207RG0100X	None listed
Physician Assistant	363A00000X	None listed
Nurse Practitioner	363L00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

21 other providers at this address

NPI record

NPI: 1164867883
Entity type: Organization (Type 2)
Issued: May 8, 2013
Last updated: Apr 21, 2023
Status: Active

Other names

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Gastroenterology and Hepatology of the Bluegrass · doing business as
Gastroenterology and Hepatology of the Bluegrass · doing business as

Authorized official

Monica Bowman
Corporate Secretary
(615) 920-7000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164867883

Kentucky Mso LLC's National Provider Identifier is 1164867883, issued on May 8, 2013. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Georgetown, KY. The record was last updated on Apr 21, 2023.