Organization
KENTUCKY ORTHOPAEDIC AND HAND SURGEONS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN GALL (PRACTICE MANAGER)
(859) 278-2776
Entity
Organization
Contact information
Practice address
1780 NICHOLASVILLE RAOD, STE 501, LEXINGTON, KY 40503
(859) 278-3481
(859) 275-1647
Mailing address
PO BOX 890437, CHARLOTTE, NC 28289-0437
(859) 278-3481
(859) 275-1647
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109035
BLUE CROSS BLUE SHIELD
KY
05
—
90340340
—
KY
Enumeration date
07/27/2006
Last updated
06/21/2018
Update your record
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