MEDICARE: KC RESULTS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	37946	KY

General Provider Information

NPI Number	:	1063658839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KC RESULTS INC

Provider Business Mailing Address
First Line	:	161 PROSPEROUS PL
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1898
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	161 PROSPEROUS PL
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1898
Country	:	US
Telephone Number	:	913-596-0729
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GREGORY P MONOHAN
Credential	:
Telephone Number	:	913-596-0729

Provider Enumeration Date	:	12/30/2008
Last Update Date	:	12/30/2008

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Directions to “KC RESULTS INC ” Practice Location

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