Kentucky Cardiothoracic Surgery Pllc

NPI 1063623619 - Physician Assistant - 363A00000X

NPI Details
NPI 1063623619
Enumeration Date 05/25/2007
Last Updated 10/26/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SAMUEL B SAMUEL
Position OWNER CARDIOTHORACIC SURGEON
Phone (502) 810-8002
Fax
Practice Location
3900 KRESGE WAY
LOUISVILLE KY, 40207-4660, US
Phone (502) 810-8002
Fax
Business Location
PO BOX 7565
LOUISVILLE KY, 40257-0565, US
Phone (502) 810-8002
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Kentucky Cardiothoracic Surgery Pllc NPI is 1063623619, taxonomy code is 363A00000X Kentucky Cardiothoracic Surgery Pllc physically located at 3900 Kresge Way, Louisville KY, 40207-4660. NPI Number 1033115704 has the healthcare provider type.

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1063623619 NPI number is provided on an as is basis without warranty of any kind. 1063623619 is maintained by the National Plan & Provider Enumeration System. The contents of Kentucky Cardiothoracic Surgery Pllc are for informational purposes only.