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CENTRAL KENTUCKY SURGICAL SERVICES LLC
NPI 1689701997
Nurse Practitioner in Campbellsville, KY

Active since February 27, 2007
1700 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718(270) 465-2521 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Central Kentucky Surgical Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL KENTUCKY SURGICAL SERVICES LLC (NPI 1689701997) is a healthcare organization registered as a nurse practitioner in Campbellsville, Kentucky and active in the NPI registry since February 2007. The organization lists Susan A. Shively, Owner, as its authorized official.

NPPES Registry Identity

NPI1689701997
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameCENTRAL KENTUCKY SURGICAL SERVICES LLC
Location Address1700 OLD LEBANON RDCampbellsville, KY 42718-9615
Mailing Address803 Lebanon AveCampbellsville, KY 42718-1809 · (270) 465-2521
Phone(270) 465-2521
Organization SubpartNo
Authorized OfficialSusan A. ShivelyOwner · 27014652521
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 17, 2007
✔ NPI 1689701997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1700 OLD LEBANON RD, Campbellsville, KY 42718
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Other Identifiers 1

Medicare PIN00242KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYED FURQAN GILANI M.B.B.S
Orthopaedic Surgery
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-3561
SAMANTHA SHIPP
Nurse Practitioner (Family)
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-5794
P & C LABS, LLC
Pathology (Anatomic Pathology & Clinical Pathology)
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Taylor County (859) 278-9513
TAYLOR COUNTY HOSPITAL DISTRICT HEALTH FACILITIES CORPORATION
Pharmacy (Community/Retail Pharmacy)
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-3561
CAMPBELLSVILLE EMERGENCY GROUP LLC
Emergency Medicine
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-3561
DR. JENNIFER L FRIEND MD
Emergency Medicine
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 384-9491
TERRY LYNN YATES JR. PHARMD
Pharmacist
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-9041
TAYLOR REGIONAL MEDICAL GROUP
Radiology (Diagnostic Radiology)
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-3561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Kentucky Surgical Services LLC's NPI number?

The NPI number for Central Kentucky Surgical Services LLC is 1689701997. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Central Kentucky Surgical Services LLC located?

Central Kentucky Surgical Services LLC is located at 1700 Old Lebanon Rd, Campbellsville, KY 42718. The listed phone number is (270) 465-2521.

What is Central Kentucky Surgical Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Central Kentucky Surgical Services LLC was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.