Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central Kentucky Surgical Services LLC

Organization Nurse Practitioner · NPI 1689701997

Central Kentucky Surgical Services LLC is a Nurse Practitioner in Campbellsville, Kentucky. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1700 Old Lebanon Rd
Campbellsville, KY 42718-9615
Phone: (270) 465-2521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1689701997
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Shively — Owner · 27014652521
NPI enumeratedFebruary 27, 2007
Last updated in NPPESAugust 17, 2007
Mailing address803 Lebanon Ave, Campbellsville, KY 42718-1809

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