Organization
ORTHOPEDIC CONSULTANTS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J VAUGHAN (PRESIDENT)
(859) 255-9059
Entity
Organization
Contact information
Practice address
1760 NICHOLASVILLE RD, SUITE 604, LEXINGTON, KY 40503-1471
(859) 255-9059
(859) 254-3112
Mailing address
1760 NICHOLASVILLE RD, SUITE 604, LEXINGTON, KY 40503-1471
(859) 255-9059
(859) 254-3112
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10622001
KY
363A00000X
Physician Assistant
PA009
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65905846
—
KY
05
—
7100015790
—
KY
Enumeration date
09/06/2005
Last updated
05/06/2008
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