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Organization

KENTUCKY ORTHOPEDIC REHABILITATION, LLC

Active
Parent organization
SELECT MEDICAL CORPORATION
Other names
KORT
Organization subpart
Yes

Provider details

NPI number
Legal business name
SELECT MEDICAL CORPORATION
Authorized official
MICHAEL E TARVIN (VP & AUTHORIZED OFFICIAL)
(717) 972-1100
Entity
Organization

Contact information

Practice address
9880 ANGIES WAY, SUITE 100, LOUISVILLE, KY 40241-2851
(502) 339-6490
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
12/18/2015
Last updated
08/10/2016
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