| NPI | 1023040169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND GERALD SHEA President Surgeon 502-587-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 30060) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 16187) |
| 207X00000X Orthopaedic Surgery (Licence: KY 22228) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-02-11 |