| NPI | 1033167515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN M. PAGE' President Owner 606-864-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 00308) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2009-04-13 |