Organization
ORTHOPEDIC TRAUMA ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLE D RUTLEDGE (OFFICE MANAGER)
(502) 629-5460
Entity
Organization
Contact information
Practice address
234 E GRAY ST, SUITE 564, LOUISVILLE, KY 40202
(502) 629-5460
(502) 629-5461
Mailing address
234 E GRAY ST, SUITE 564, LOUISVILLE, KY 40202
(502) 629-5460
(502) 629-5461
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64225279
—
KY
05
—
64227460
—
KY
Enumeration date
12/16/2005
Last updated
07/14/2008
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