NPI Provider: 1417953209
Contact Name: Valentini R George
Position: President/Owner
Phone: (270) 885-1140
Western Ky Institute Fo Plastic,reconstructive &aesthetic Surgery Information:
Western Ky Institute Fo Plastic,reconstructive &aesthetic Surgery organization have npi 1417953209, taxonomy code is 174400000X with license number is 27209 in . This Business address located in 1724 Kenton St, Hopkinsville, KY 42240 Kentucky.
Practice Location
Address: 1724 Kenton St, Hopkinsville, KY 42240
Phone: (270) 885-1140
Business Location
Address: 1724 Kenton St, Hopkinsville, KY 42240
Phone: (270) 885-1140
Fax: (270) 885-1183
Taxonomy
Taxonomy Code: 174400000X
License Number: 27209
License Number of State: KY
Primary Taxonomy Switch: Y
Enumeration Date: 6/26/2005
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