| NPI | 1114352796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMETT LEE OGDEN Managing Member 502-741-6607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207X00000X Orthopaedic Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |