Organization
CENTRAL PROSTHETICS & ORTHOTICS INC
Active
Other names
Central Brace & Prosthetics Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED H GILDEHAUS III CPO FAAOP CPED (PRESIDENT OWNER)
(859) 263-7712
Entity
Organization
Contact information
Practice address
3295 EAGLE VIEW LANE, LEXINGTON, KY 40509-1852
(859) 263-7712
(859) 263-7607
Mailing address
3295 EAGLE VIEW LANE, LEXINGTON, KY 40509-1852
(859) 263-7712
(859) 263-7607
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000066651
ANTHEM
—
05
—
90030347
—
KY
01
—
9565
HUMANA
—
Enumeration date
10/04/2006
Last updated
12/01/2010
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