Organization · Type 2 NPI

Kentucky Mso LLC

Hematology & Oncology Physician · Georgetown, KY

NPI number 1336483957 Active

Practice location

1140 Lexington Rd, Suite 202
Georgetown, KY 40324-9330

Call (502) 868-5603 Map

Fax (502) 868-5612

Mailing address

1140 Lexington Rd Ste 202
Georgetown, KY 40324-9330

Other practice locations

225 Hospital Dr Ste 325, Winchester, KY 40391-7665 · (502) 868-5603

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None listed
Physician Assistant	363A00000X	None listed
Nurse Practitioner	363L00000X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

49 other providers at this address

NPI record

NPI: 1336483957
Entity type: Organization (Type 2)
Issued: Nov 20, 2012
Last updated: Oct 30, 2026
Status: Active

Other names

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Central Kentucky Oncology and Hematology · doing business as
Central Kentucky Oncology and Hematology · doing business as

Authorized official

Charlotte Lawrence
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 1336483957

Kentucky Mso LLC's National Provider Identifier is 1336483957, issued on Nov 20, 2012. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Georgetown, KY. The record was last updated on Oct 30, 2026.