Organization
ORTHOPAEDICS & SPORTS MEDICINE OWENSBORO PSC
Active
Organization
ORTHOPAEDICS & SPORTS MEDICINE OWENSBORO PSC
Active
Other names
Advanced Center for Orthopedics & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES A MILEM MD (PRESIDENT)
(270) 926-4100
Entity
Organization
Contact information
Practice address
2780 FREDERICA ST, OWENSBORO, KY 42301-5442
(270) 926-4100
(270) 648-4678
Mailing address
2780 FREDERICA ST, OWENSBORO, KY 42301-5442
(270) 926-4100
(270) 684-4678
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
KY
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
00263
KY
225100000X
Physical Therapist
—
KY
225X00000X
Occupational Therapist
—
KY
363A00000X
Physician Assistant
—
KY
363L00000X
Nurse Practitioner
—
KY
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65923062
—
KY
05
—
7100221930
—
KY
Enumeration date
09/26/2006
Last updated
08/06/2026
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