| NPI | 1083622591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD C BURGESS President 859-253-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2015-03-09 |