| NPI | 1497425177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KERN President 270-450-7102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2022-04-25 |