OrganizationActive
Kentucky Mso LLC
NPI 1093051807 · Interventional Cardiology Physician · Georgetown, KY
Provider details
- NPI number
- 1093051807
- Entity type
- Organization
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Monica Bowman, Vice President(615) 920-7000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1154 Lexington Rd
Georgetown, KY 40324-9330
Phone: (502) 863-3329
Fax: (502) 863-3303
Approximate (ZIP-level) locationGet directions
Mailing address
1154 Lexington Rd
Georgetown, KY 40324-9330
Other names (DBA / former)
- Doing business as
- Georgetown Cardiology
- Doing business as
- Georgetown Cardiology
Registry dates
- Enumerated
- 2012-12-26
- Last updated
- 2023-03-02
- Certified
- 2023-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.