Provider Demographics
NPI:1487813507
Name:KENTUCKY MEDICAL SERVICES
Entity type:Organization
Organization Name:KENTUCKY MEDICAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EPHO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KARPF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-257-7910
Mailing Address - Street 1:333 WALLER AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2927
Mailing Address - Country:US
Mailing Address - Phone:859-323-6469
Mailing Address - Fax:
Practice Address - Street 1:333 WALLER AVE STE 300
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-2927
Practice Address - Country:US
Practice Address - Phone:859-323-6469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KENTUCKY MEDICAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Multi-Specialty