Organization · NPI-2

21st Century Oncology Of Kentucky LLC

Internal Medicine, Medical Oncology · Louisville, KY

NPI number1922520808
StatusActive
Last updated in NPPESJul 12, 2019

Details

NPI
1922520808
Entity type
Organization (NPI-2)
Legal business name
21st Century Oncology Of Kentucky LLC
Organization subpart
No
Enumeration date
Jul 12, 2017
Last updated
Jul 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RX0202X Internal Medicine, Medical Oncology––Yes

Other names

  • Cancer & Blood Specialists (Doing Business As)

Practice location

1460 Bluegrass Ave
Louisville, KY 40215-1272

Phone 502-361-8496 · Fax 502-361-3377

Mailing address

2160 Colonial Blvd
Fort Myers, FL 33907-1410

Phone 239-931-7212 · Fax 239-931-7385

Authorized official

Kim Commins
Ceo
2399317277

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