Provider Demographics
NPI:1669672010
Name:GEORGE K. AITKEN, M.D., P.S.C.
Entity Type:Organization
Organization Name:GEORGE K. AITKEN, M.D., P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:AITKEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-324-3903
Mailing Address - Street 1:617 23RD ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-2880
Mailing Address - Country:US
Mailing Address - Phone:606-324-3903
Mailing Address - Fax:606-324-5517
Practice Address - Street 1:617 23RD ST
Practice Address - Street 2:SUITE 3
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-2880
Practice Address - Country:US
Practice Address - Phone:606-324-3903
Practice Address - Fax:606-324-5517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY30691207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1669672010OtherDME
KY90280108Medicaid
KY90280108Medicaid
KY1669672010OtherDME