Kentuckiana Ear, Nose & Throat Psc

LBN: Kentuckiana Ear, Nose & Throat Psc
Kentuckiana Ear, Nose & Throat Psc is an health care organization with primary practice located at 6420 Dutchmans Pkwy Ste 380 , Louisville KY 40205-3355. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty. Kentuckiana Ear, Nose & Throat Psc can be contacted via phone (502) 894-8441, or through Scott, Bruce via phone (812) 283-8770.

Contact Information

Primary practice address
6420 Dutchmans Pkwy Ste 380 Louisville KY 40205-3355
Phone: (502) 894-8441
Fax: (502) 371-0929
Website:
Map and Directions
Authorized official contact:
Name: Scott, Bruce Doctor of Medicine (MD)
Phone: (812) 283-8770

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1194771592
LBN Legal business name Kentuckiana Ear, Nose & Throat Psc
DBA Doing business as
Authorized official Scott, Bruce Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Feb 16th, 2018 - about 6 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 1194771592 NPPES
Indiana MEDICAID 100001400
Indiana MEDICAID 65902710
Indiana Other 000000057516

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