| NPI | 1043780133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R HEILIG Owner 859-619-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2022-05-20 |