| NPI | 1396101663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT KUIPER President / Owner 502-897-1794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363AS0400X Physician Assistant, Surgical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2016-01-02 |
| Last Update Date | 2023-06-20 |