| NPI | 1083124366 |
|---|---|
| Doing Business As | KPS AMBULATORY SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | AJITH NAIR Medical Director 502-995-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 174400000X Specialist (Licence: KY KY36217) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2021-10-21 |