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

Kentucky Medical Specialists, PSC

Organization Internal Medicine Physician · NPI 1295090884

Kentucky Medical Specialists, PSC is an Internal Medicine Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2012.

Licensed in
KY
In the registry since
2012
Specialties on file
3
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4001 Kresge Way Ste # 236
Louisville, KY 40207
Phone: (502) 893-7372
Fax: (502) 409-4715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 36325 (KY)
Internal Medicine Physician Taxonomy 207R00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X

Record details

NPI number1295090884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marlon Chagua — President · (502) 893-7372
NPI enumeratedJuly 10, 2012
Last updated in NPPESMay 1, 2019
Mailing address4001 Kresge Way Ste # 236, Louisville, KY 40207

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