Organization · NPI-2

21st Century Oncology Of Kentucky LLC

Non-Pharmacy Dispensing Site · Louisville, KY

NPI number1649779455

StatusActive

Last updated in NPPESFeb 7, 2018

Details

NPI: 1649779455
Entity type: Organization (NPI-2)
Legal business name: 21st Century Oncology Of Kentucky LLC
Organization subpart: Yes
Enumeration date: Feb 7, 2018
Last updated: Feb 7, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
332900000X	Non-Pharmacy Dispensing Site	–	–	Yes

Other names

Cancer & Blood Specialists Of Kentucky (Doing Business As)

Practice location

1460 Bluegrass Ave
Louisville, KY 40215-1272

Phone 502-361-8496

Mailing address

2270 Colonial Blvd
Fort Myers, FL 33907-1412

Phone 239-333-1701

Authorized official

Melissa Mcdonald
Project Mngr/Applications Trainer
2394618546

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