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1689701997
CENTRAL KENTUCKY SURGICAL SERVICES LLC
CAMPBELLSVILLE, KY
NPI
1689701997
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Entity Type
Organization
Authorized Contact
SUSAN A. SHIVELY
Owner
2701-465-2521
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2007-02-27
Last Update Date
2007-08-17
Business Address
CENTRAL KENTUCKY SURGICAL SERVICES LLC
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718-9615
Phone number: 270-465-2521
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Mailing Address
CENTRAL KENTUCKY SURGICAL SERVICES LLC
803 LEBANON AVE
CAMPBELLSVILLE, KY 42718-1809
Phone number: 270-465-2521
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