Organization
KORT-KENTUCKY ORTHOPEDIC REHAB TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA MIX (CREDENTIALING COORDINATOR)
(270) 234-1438
Entity
Organization
Contact information
Practice address
3901 DUTCHMANS LN STE 104, LOUISVILLE, KY 40207-4726
(502) 899-9927
Mailing address
3901 DUTCHMANS LN STE 104, LOUISVILLE, KY 40207-4726
(502) 899-9927
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
R2738
KY
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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