Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Oldham Medical Clinic PSC

Organization General Practice Physician · NPI 1922142983

South Oldham Medical Clinic PSC provides General Practice Physician services in Crestwood, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6520 W Hwy 22
Crestwood, KY 40014
Phone: (502) 241-8488
Fax: (502) 241-7424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 30373 (KY)

Record details

NPI number1922142983
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashor Alur — Physician Owner · (502) 241-8488
NPI enumeratedFebruary 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address6520 W Hwy 22, Crestwood, KY 40014

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