1033102397 KENTUCKY LAKE SURGERY CENTER LLC

Ambulatory Surgical Clinic/Center

Active

Basic Information

Organization Name
KENTUCKY LAKE SURGERY CENTER LLC
Enumeration Date
August 23, 2005
Last Update
January 28, 2011
Authorized Official
KAROLYN M MOBLEY
ADMINISTRATOR
Phone: (731) 644-2150

Practice Location

Address
1002 CORNERSTONE DR
SUITE B
PARIS, TN 382425812
Phone
(731) 644-2150
Fax
(731) 644-0474

Mailing Address

Address
1002 CORNERSTONE DR
SUITE B
PARIS, TN 382425812
Phone
(731) 644-2150
Fax
(731) 644-0474

Specialties & Taxonomies

Specialty Code Classification License State Primary
Ambulatory Surgical Clinic/Center
Ambulatory Surgical
261QA1903X Clinic/Center 0000000118 TN Primary

Other Identifiers

Identifier Type State Issuer
3288139 05 TN N/A
490004547 01 TN PALMETO GBA PROVIDER NUMB
3144925 01 TN BLUE CROSS PROVIDER NUMBE

Frequently Asked Questions

What is KENTUCKY LAKE SURGERY CENTER LLC's NPI number?
KENTUCKY LAKE SURGERY CENTER LLC's NPI number is 1033102397.
Which doctor has NPI number 1033102397?
The doctor with NPI number 1033102397 is KENTUCKY LAKE SURGERY CENTER LLC.
What is KENTUCKY LAKE SURGERY CENTER LLC's practice address?
KENTUCKY LAKE SURGERY CENTER LLC's practice address is 1002 CORNERSTONE DR, SUITE B, PARIS, TN, 382425812.
Which doctor practices at 1002 CORNERSTONE DR, SUITE B, PARIS, TN, 382425812?
KENTUCKY LAKE SURGERY CENTER LLC practices at 1002 CORNERSTONE DR, SUITE B, PARIS, TN, 382425812.
What is KENTUCKY LAKE SURGERY CENTER LLC's phone number?
KENTUCKY LAKE SURGERY CENTER LLC's phone number is (731) 644-2150.
Who is (731) 644-2150?
(731) 644-2150 is the phone number for KENTUCKY LAKE SURGERY CENTER LLC.
What is KENTUCKY LAKE SURGERY CENTER LLC's specialty?
KENTUCKY LAKE SURGERY CENTER LLC's specialty is Ambulatory Surgical Clinic/Center.
What type of doctor is KENTUCKY LAKE SURGERY CENTER LLC?
KENTUCKY LAKE SURGERY CENTER LLC is a Ambulatory Surgical Clinic/Center.
Is KENTUCKY LAKE SURGERY CENTER LLC a Ambulatory Surgical?
Yes, KENTUCKY LAKE SURGERY CENTER LLC is a Ambulatory Surgical.
Is KENTUCKY LAKE SURGERY CENTER LLC still practicing?
Yes, KENTUCKY LAKE SURGERY CENTER LLC is currently practicing.
Is KENTUCKY LAKE SURGERY CENTER LLC accepting new patients?
KENTUCKY LAKE SURGERY CENTER LLC may be accepting new patients. Please call their office at (731) 644-2150 to inquire about availability.
Is NPI 1033102397 still active?
Yes, NPI 1033102397 is currently active.
Where does KENTUCKY LAKE SURGERY CENTER LLC practice?
KENTUCKY LAKE SURGERY CENTER LLC practices in PARIS, TN.