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1972770170
COMMONWEALTH SPECIALISTS OF KENTUCKY, LLC
FRANKFORT, KY
NPI
1972770170
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Entity Type
Organization
Authorized Contact
WILLIAM T. JOHNSON
VP
804-237-7760
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2008-05-15
Last Update Date
2009-09-30
Business Address
COMMONWEALTH SPECIALISTS OF KENTUCKY, LLC
299 KINGS DAUGHTERS DR
FRANKFORT, KY 40601-6514
Phone number: 502-226-7530
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Mailing Address
COMMONWEALTH SPECIALISTS OF KENTUCKY, LLC
299 KINGS DAUGHTERS DR SUITE 108
FRANKFORT, KY 40601-6514
Phone number: 502-226-7930
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