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

Kentucky MSO LLC

Organization Family Medicine Physician · NPI 1710252622

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

In the registry since
2012
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

1138 Lexington Rd Ste 130
Georgetown, KY 40324-9672
Phone: (502) 867-0420
Fax: (502) 867-0222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1710252622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Vaughn — Vice President · (615) 372-8500
Other names Georgetown Family Practice
NPI enumeratedMarch 12, 2012
Last updated in NPPESMarch 12, 2012
Mailing address1138 Lexington Rd, Suite 130, Georgetown, KY 40324-9672

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