| NPI | 1730321845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACIE CURL Director Of Billing 502-587-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 079020) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2024-04-18 |