Organization Name: | WESTERN KENTUCKY INSTITUTE OF PLASTIC, RECONSTRUCTIVE AND AESTHETIC SU |
NPI Number: | 1417953209 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE R VALENTINI (PRESIDENT/OWNER) |
Mailing Address: | 1724 Kenton St Suite 1 C Hopkinsville |
State: | KY US |
Postal Code: | 422401981 |
Phone Number: | 2708851140 |
Fax Number: | 2708851183 |
NPI Enumeration Date: | 06/26/2005 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 27209 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |