Organization
ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE MOORE (MANAGER)
(859) 817-7500
Entity
Organization
Contact information
Practice address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 817-7500
(859) 817-7851
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 817-7500
(859) 817-7851
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
07/30/2021
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