Organization
ORTHOREGENERATIVE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH J SUMMERS OD (VICE PRESIDENT)
(502) 523-7547
Entity
Organization
Contact information
Practice address
701 EXECUTIVE PARK, LOUISVILLE, KY 40207
(502) 314-2187
(502) 657-5046
Mailing address
5903 JENNESS CT, LOUISVILLE, KY 40222-6359
(502) 523-7547
(502) 657-5046
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
08/09/2020
Last updated
10/01/2020
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