KENTUCKY MSO LLC

GEORGETOWN, KY
NPI1710252622
Doing Business AsGEORGETOWN FAMILY PRACTICE
Entity TypeOrganization
Authorized ContactTIMOTHY D VAUGHN
Vice President
615-372-8500
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2012-03-12
Last Update Date2012-03-12
Business Address
KENTUCKY MSO LLC
1138 LEXINGTON RD SUITE 130
GEORGETOWN, KY 40324-9672
Phone number: 502-867-0420
Mailing Address
KENTUCKY MSO LLC
1138 LEXINGTON RD SUITE 130
GEORGETOWN, KY 40324-9672
Phone number: 502-867-0420