Organization · Type 2 NPI

Kentucky Mso, LLC

Cardiovascular Disease Physician · Georgetown, KY

NPI number 1679902340 Active

Practice location

1140 Lexington Rd
Georgetown, KY 40324-9330

Call (855) 876-2412 Map

Fax (502) 570-5610

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Cardiovascular Disease Physician Primary 207RC0000XNone listed
Gastroenterology Physician 207RG0100XNone listed
Hematology & Oncology Physician 207RH0003XNone listed
Pulmonary Disease Physician 207RP1001XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Occupational Medicine Physician 2083X0100XNone listed
Neurology Physician 2084N0400XNone listed
Radiation Oncology Physician 2085R0001XNone listed
Surgery Physician 208600000XNone listed
Pain Medicine Physician 208VP0000XNone listed
Audiologist 231H00000XNone listed
Physician Assistant 363A00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

49 other providers at this address

About NPI 1679902340

Kentucky Mso, LLC's National Provider Identifier is 1679902340, issued on Nov 4, 2013. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Georgetown, KY. The record was last updated on Jan 24, 2024.