| NPI | 1003013871 |
|---|---|
| Former Legal Business Name | KENTUCKY ORTHOPAEDIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | RONALD SANFORD DUBIN President 606-248-0050 |
| Organization Subpart ? | |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: KY 25458) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2010-03-18 |