NPI | 1760790257 |
---|---|
Doing Business As | ORTHOPEDIC INSTITUTE OF WESTERN KENTUCKY |
Entity Type | Organization |
Authorized Contact | JAMES MICHAEL DAVIS President 618-997-6800 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 042.617215) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 042617215) |
Enumeration Date | 2010-09-17 |
Last Update Date | 2012-03-28 |