# ADVANCED ORTHOPAEDICS OF LOUISVILLE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356450613
- **Authorized official:** DR. CARROLL LEWIS WITTEN,JR M.D. (PARTNER)
- **Authorized official phone:** (502) 897-2440

## Contact information

- **Practice address:** 4001 KRESGE WAY STE 330, BAPTIST EAST OFFICE PARK, LOUISVILLE, KY 40207-4640
- **Practice address phone:** (502) 897-2440
- **Practice address fax:** (502) 897-2455
- **Mailing address:** 4001 KRESGE WAY STE 330, BAPTIST EAST OFFICE PARK, LOUISVILLE, KY 40207-4640
- **Mailing address phone:** (502) 897-2440
- **Mailing address fax:** (502) 897-2455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 19829 | KY | — |
| 174400000X | Specialist | 20886 | KY | Yes |
| 174400000X | Specialist | 24906 | KY | — |
| 174400000X | Specialist | 25869 | KY | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 11/01/2007