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1194929943
KENTUCKY LAPAROSCOPIC & ADVANCED SURGICAL SPECIALISTS, PLLC
PRESTONSBURG, KY
NPI
1194929943
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Entity Type
Organization
Authorized Contact
JODY MICHAEL JOHNSON
Owner
606-886-8240
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: KY 02979)
Enumeration Date
2007-06-14
Last Update Date
2009-03-12
Business Address
KENTUCKY LAPAROSCOPIC & ADVANCED SURGICAL SPECIALISTS, PLLC
5322 KY ROUTE 321 SUITE 1
PRESTONSBURG, KY 41653-9114
Phone number: 606-886-8240
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Mailing Address
KENTUCKY LAPAROSCOPIC & ADVANCED SURGICAL SPECIALISTS, PLLC
PO BOX 1239
PRESTONSBURG, KY 41653-5239
Phone number: 606-886-8240
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