| NPI | 1588640189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE D RUTLEDGE Office Manager 502-629-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2008-07-14 |