Kentuckiana Colon And Rectal Surgery, Pllc

LBN: Kentuckiana Colon And Rectal Surgery, Pllc
Kentuckiana Colon And Rectal Surgery, Pllc is an health care organization with primary practice located at 4121 Dutchmans Ln Suite 515, Louisville KY 40207-4737. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is the primary health care specialty. Kentuckiana Colon And Rectal Surgery, Pllc can be contacted via phone (502) 583-8005, or through Tuckson, Wayne via phone (502) 583-8005.

Contact Information

Primary practice address
4121 Dutchmans Ln Suite 515 Louisville KY 40207-4737
Phone: (502) 583-8005
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tuckson, Wayne Doctor of Medicine (MD)
Phone: (502) 583-8005

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 30849 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1619908613
LBN Legal business name Kentuckiana Colon And Rectal Surgery, Pllc
DBA Doing business as
Authorized official Tuckson, Wayne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2006
Last updated Aug 13th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619908613 NPPES
Kentucky MEDICAID 65934739
Kentucky MEDICAID 7100015770
Kentucky MEDICAID 200323220A
Kentucky Other CK6017

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