| NPI | 1316537533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE E KIRKHAM Executive Director/Consultant 502-905-0695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-01-21 |