Organization
INTEGRITY ORTHOPAEDICS, SPORTS MEDICINE, AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HAGER JOHNSON (OFFICE MANAGER)
(859) 497-4144
Entity
Organization
Contact information
Practice address
160 PEDRO WAY, WINCHESTER, KY 40391-8354
(859) 737-5188
Mailing address
160 PEDRO WAY, WINCHESTER, KY 40391-8354
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35313
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64005382
—
KY
Enumeration date
06/07/2011
Last updated
06/07/2011
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