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Organization

UNIVERSITY ORTHOPAEDIC ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRINA KOCHERT CCP (BUSINESS OFFICE MANAGER)
(502) 584-7525
Entity
Organization

Contact information

Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-6501
(502) 562-6502
Mailing address
210 E GRAY ST, #900, LOUISVILLE, KY 40202-3900
(502) 584-7525
(502) 589-0849

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
KY
207XS0117X
Orthopaedic Surgery of the Spine Physician
KY
207XX0801X
Orthopaedic Trauma Physician
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100397490A
IN
01
1049629
PASSPORT
KY
01
2432606000
PASSPORT ADVANTAGE
KY
05
65931875
KY
01
667790
CIGNA
KY
01
CJ5284
RAILROAD MEDICARE
KY
Enumeration date
07/10/2006
Last updated
04/25/2008
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