| NPI | 1104004845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY A B LEMASTER Office Mgr 606-325-1765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 32201) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-07-02 |