| NPI | 1942451828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN M. REIS CEO 859-817-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2018-06-04 |