Organization
CENTRAL KENTUCKY SPINE SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT P KNETSCHE MD (PRESIDENT)
(859) 239-9680
Entity
Organization
Contact information
Practice address
236 W MAIN ST, STE 202, DANVILLE, KY 40422-1812
(859) 239-9680
Mailing address
236 W MAIN ST, STE 202, DANVILLE, KY 40422-1812
(859) 239-9680
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
42368
KY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/26/2008
Last updated
11/30/2009
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