| Kentucky Mso Llc | |
|
1140 Lexington Rd Suite 105 Georgetown KY 40324-9330 | |
| (502) 868-5660 | |
| (502) 868-5664 |
| Full Name | Kentucky Mso Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1140 Lexington Rd, Georgetown, Kentucky |
| Authorized Official Name and Position | Robert Scott Raplee (OPERATIONS PRESIDENT) |
| Authorized Official Contact | 6153728500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Mso Llc 1140 Lexington Rd Suite 105 Georgetown KY 40324-9330 Ph: (502) 868-5660 | Kentucky Mso Llc 1140 Lexington Rd Suite 105 Georgetown KY 40324-9330 Ph: (502) 868-5660 |
| NPI Number | 1316239841 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 07/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316239841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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