| NPI | 1033210828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A MILEM President 270-926-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QS0010X Family Medicine Sports Medicine | |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: KY 00263) | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-10-31 |