KENTUCKY MSO, LLC

GEORGETOWN, KY
NPI1679902340
Entity TypeOrganization
Authorized ContactMONICA BOWMAN
President
615-920-7000
Organization Subpart ?No
Primary Taxonomy207RC0000X Internal Medicine Cardiovascular Disease
Additional Taxonomies207Q00000X Family Medicine
207RG0100X Internal Medicine Gastroenterology
207RH0003X Internal Medicine Hematology & Oncology
207RP1001X Internal Medicine Pulmonary Disease
207X00000X Orthopaedic Surgery
2083X0100X Preventive Medicine Occupational Medicine
363A00000X Physician Assistant
363LF0000X Nurse Practitioner Family
2084N0400X Psychiatry & Neurology Neurology
2085R0001X Radiology Radiation Oncology
208600000X Surgery
208VP0000X Pain Medicine Pain Medicine
231H00000X Audiologist
Enumeration Date2013-11-04
Last Update Date2024-01-24
Business Address
KENTUCKY MSO, LLC
1140 LEXINGTON RD
GEORGETOWN, KY 40324-9330
Phone number: 855-876-2412
Mailing Address
KENTUCKY MSO, LLC
330 SEVEN SPRINGS WAY
BRENTWOOD, TN 37027-5098
Phone number: 615-920-7000