Organization
DANVILLE ORTHOPAEDICS & SPORTS MEDICINE, PSC
Active
Organization
DANVILLE ORTHOPAEDICS & SPORTS MEDICINE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELLINA M CLAUNCH (CREDENTIALING & BILLING)
(859) 209-4398
Entity
Organization
Contact information
Practice address
333 S 3RD ST, SUITE B, DANVILLE, KY 40422
(859) 236-8730
(859) 236-4468
Mailing address
333 S 3RD ST, SUITE B, DANVILLE, KY 40422-2016
(859) 236-8730
(859) 236-4468
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65911299
—
KY
05
—
7100224350
—
KY
Enumeration date
09/09/2005
Last updated
11/11/2022
Update your record
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