| NPI | 1477547073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELLINA M CLAUNCH Credentialing & Billing 859-209-4398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2022-11-11 |