Kentucky Lake Surgery Center Llc in Paris - Ambulatory Surgical

Kentucky Lake Surgery Center Llc - NPI 1033102397

Kentucky Lake Surgery Center Llc is a Ambulatory Surgical in Paris, Tennessee. Kentucky Lake Surgery Center Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Kentucky Lake Surgery Center Llc is 1033102397. The last update date is 2011-01-28.

Kentucky Lake Surgery Center Llc's current location address is 1002 Cornerstone Dr, Paris, Tennessee. You can contact this provider via phone number 7316442150 and fax number 7316440474. The mailing address for Kentucky Lake Surgery Center Llc is 1002 Cornerstone Dr, Paris, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kentucky Lake Surgery Center Llc
Address 1002 Cornerstone Dr, Paris, Tennessee
Phone Number 7316442150
Fax Number 7316440474
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Mobley M Karolyn
Telephone Number 7316442150

NPI Number Detail

NPI Number 1033102397
Provider Enumeration Date 2005-08-23
Last Updated Date 2011-01-28

Provider Mailing Address Detail

Address 1002 Cornerstone Dr
City Paris
State Tennessee (TN)
Post Code 382425812
Phone Number 7316442150
Fax Number 7316440474

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 118
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3288139 TN --
490004547 TN PALMETO GBA PROVIDER NUMB
3144925 TN BLUE CROSS PROVIDER NUMBE

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FAQs about Kentucky Lake Surgery Center Llc

What is the unique 10-digit identification code issued to Kentucky Lake Surgery Center Llc by the Centers for Medicare & Medicaid Services?

The Kentucky Lake Surgery Center Llc has been assigned the NPI (National Provider Identifier) 1033102397 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Kentucky Lake Surgery Center Llc is physically located?

The Kentucky Lake Surgery Center Llc is situated at the following address: 1002 Cornerstone Dr, Paris, TN 382425812.

What is Kentucky Lake Surgery Center Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kentucky Lake Surgery Center Llc is Ambulatory Surgical, and the taxonomy code that classifies this field of practice is 261Qa1903X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1033102397 to Kentucky Lake Surgery Center Llc?

The Centers for Medicare & Medicaid Services originally issued the 1033102397 to Kentucky Lake Surgery Center Llc on 2005-08-23.

As of what date was the information regarding Kentucky Lake Surgery Center Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kentucky Lake Surgery Center Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-01-28.

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