Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kentuckiana Colon and Rectal Surgery, PLLC

Organization Colon & Rectal Surgery Physician · NPI 1619908613

Kentuckiana Colon and Rectal Surgery, PLLC is a Colon & Rectal Surgery Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4121 Dutchmans Ln Ste 515
Louisville, KY 40207-4737
Phone: (502) 583-8005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 30849 (KY)
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1619908613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayne Tuckson — Owner/Physician · (502) 583-8005
NPI enumeratedJuly 6, 2006
Last updated in NPPESAugust 13, 2008
Mailing address4121 Dutchmans Ln, Suite 515, Louisville, KY 40207-4737

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