Organization
CORNERSTONE ORTHOPAEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY S MICEK (OWNER SURGEON)
(859) 626-9881
Entity
Organization
Contact information
Practice address
318 HIGHLAND PARK DRIVE, RICHMOND, KY 40475
(859) 626-9881
(859) 626-9790
Mailing address
318 HIGHLAND PARK DRIVE, RICHMOND, KY 40475
(859) 626-9881
(859) 626-9790
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65940132
—
KY
Enumeration date
12/11/2006
Last updated
08/22/2020
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