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Organization

ORTHO KENTUCKY PLLC

Active
Parent organization
ORTHO KENTUCKY PLLC
Other names
Kentucky Orthopaedic and Hand Surgeons
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHO KENTUCKY PLLC
Authorized official
DR. LISA T DEGNORE MD (PARTNER)
(859) 278-3481
Entity
Organization

Contact information

Practice address
1780 NICHOLASVILLE RD, STE 501, LEXINGTON, KY 40503-1400
(859) 278-3481
(859) 277-7365
Mailing address
1780 NICHOLASVILLE RD, STE 501, LEXINGTON, KY 40503-1400
(859) 278-3481
(859) 277-7365

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XS0106X
Orthopaedic Hand Surgery Physician
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
363A00000X
Physician Assistant
PA1084
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100107610
KY
Enumeration date
09/15/2009
Last updated
03/11/2014
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