Healthcare Provider Details

I. General information

NPI: 1093895526
Provider Name (Legal Business Name): KENTUCKY HAND CENTER PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 SHAKER DR SUITE #104
LEXINGTON KY
40504
US

IV. Provider business mailing address

715 SHAKER DR SUITE #104
LEXINGTON KY
40504
US

V. Phone/Fax

Practice location:
  • Phone: 859-278-9546
  • Fax: 859-277-8512
Mailing address:
  • Phone: 859-278-9546
  • Fax: 859-277-8512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number15480
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number15480
License Number StateKY

VIII. Authorized Official

Name: MR. CHARLES R COMBS
Title or Position: PRESIDENT
Credential: MD
Phone: 859-278-9546