Organization
KENTUCKY ORTHOPAEDICS & SPINE PLLC
Active
Parent organization
KENTUCKY ORTHOPAEDICS & SPINE, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENTUCKY ORTHOPAEDICS & SPINE, PLLC
Authorized official
JOY CLEVENGER (CREDENTIALING AGENT)
(502) 523-6695
Entity
Organization
Contact information
Practice address
404 SHOPPERS DR, WINCHESTER, KY 40391-1301
(859) 737-5333
(859) 737-0070
Mailing address
404 SHOPPERS DR, WINCHESTER, KY 40391-1301
(859) 737-5333
(859) 737-0070
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100773450
—
KY
Enumeration date
08/09/2021
Last updated
03/23/2026
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