CENTRAL KENTUCKY ONCOLOGY AND HEMATOLOGY – NPI #1336483957
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CENTRAL KENTUCKY ONCOLOGY AND HEMATOLOGY is a provider located in GEORGETOWN, KY. NPPES has assigned the NPI number 1336483957 to CENTRAL KENTUCKY ONCOLOGY AND HEMATOLOGY on November 20, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRAL KENTUCKY ONCOLOGY AND HEMATOLOGY” is a dba name, the actual legal business name for this organization is KENTUCKY MSO LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 6 years ago on Sep 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL KENTUCKY ONCOLOGY AND HEMATOLOGY below.

NPI Profile for
KENTUCKY MSO LLC

NPI Number
1336483957
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KENTUCKY MSO LLC
Doing Business As (dba): CENTRAL KENTUCKY ONCOLOGY AND HEMATOLOGY
Primary location
1140 LEXINGTON RD
SUITE 202
GEORGETOWN, KY 40324-9330
Phone: (502) 868-5603 Fax: (502) 868-5612
1 Other location(s):
225 Hospital Dr Ste 325
Winchester, KY 40391-7665
Phone: (502) 868-5603
Fax: (502) 868-5608
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KATHY TEAGUE
CORPORATE SECRETARY
Phone: (615) 920-7000
Updated
Certification Date
Sep 22, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)
363A00000X
- Physician Assistant

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.