CENTRAL KENTUCKY SURGICAL SERVICES LLC

CAMPBELLSVILLE, KY
NPI1689701997
Entity TypeOrganization
Authorized ContactSUSAN A. SHIVELY
Owner
2701-465-2521
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2007-02-27
Last Update Date2007-08-17
Business Address
CENTRAL KENTUCKY SURGICAL SERVICES LLC
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718-9615
Phone number: 270-465-2521
Mailing Address
CENTRAL KENTUCKY SURGICAL SERVICES LLC
803 LEBANON AVE
CAMPBELLSVILLE, KY 42718-1809
Phone number: 270-465-2521