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

South Oldham Medical Clinic PSC

Organization General Practice Physician · NPI 1922142983

South Oldham Medical Clinic PSC is a General Practice Physician in Crestwood, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
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

6520 W Hwy 22
Crestwood, KY 40014
Phone: (502) 241-8488
Fax: (502) 241-7424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 30373 (KY)

Record details

NPI number1922142983
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashor Alur — Physician Owner · (502) 241-8488
NPI enumeratedFebruary 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address6520 W Hwy 22, Crestwood, KY 40014

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