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

Kentucky MSO LLC

Organization Internal Medicine Physician · NPI 1093051807

Kentucky MSO LLC is an Internal Medicine Physician in Georgetown, Kentucky. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
5
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

1154 Lexington Rd
Georgetown, KY 40324-9330
Phone: (502) 863-3329
Fax: (502) 863-3303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1093051807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monica Bowman — Vice President · (615) 920-7000
Other names Georgetown Cardiology; Georgetown Cardiology
NPI enumeratedDecember 26, 2012
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023
Mailing address1154 Lexington Rd, Georgetown, KY 40324-9330

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