| NPI | 1871852640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG ROBERTS Director 502-852-5319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 27747) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 27746) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: KY 40767) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: KY 40767) | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-08-03 |