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

Southern Surgical Consultants, LLC

Organization Surgery Physician · NPI 1770771578

Southern Surgical Consultants, LLC is a Surgery Physician in Russellville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
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

1623 Nashville St Ste 206
Russellville, KY 42276-8889
Phone: (270) 726-9700
Fax: (270) 726-6400
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence TP556 (KY)

Record details

NPI number1770771578
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Reese — Owner · (270) 726-9700
NPI enumeratedOctober 6, 2007
Last updated in NPPESNovember 11, 2009
Mailing address1623 Nashville St, Suite 206, Russellville, KY 42276-8889

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