Organization
ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE PSC
Active
Organization
ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE PSC
Active
Other names
OrthoCincy Orthopaedics & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN M. REIS CEO (EXECUTIVE OFFICER)
(859) 817-7070
Entity
Organization
Contact information
Practice address
2845 CHANCELLOR DR, CRESTVIEW HILLS, KY 41017
(859) 426-4200
(859) 426-4206
Mailing address
560 SOUTH LOOP ROAD, EDGEWOOD, KY 41017-8010
(859) 817-7070
(859) 817-7848
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
28345
KY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65927881
—
KY
05
—
90008962
—
KY
Enumeration date
10/09/2008
Last updated
08/26/2022
Update your record
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