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Organization

ELLIS & BADENHAUSEN ORTHOPAEDICS, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LACIE CURL (DIRECTOR OF BILLING)
(502) 587-1236
Entity
Organization

Contact information

Practice address
4123 DUTCHMANS LN STE 101, LOUISVILLE, KY 40207-4718
(502) 587-1236
(502) 587-0126
Mailing address
13151 MAGISTERIAL DR, SUITE 200, LOUISVILLE, KY 40223-4103
(502) 587-1236
(502) 587-0126

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
079020
KY
332B00000X
Durable Medical Equipment & Medical Supplies
KY
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
04/03/2009
Last updated
04/18/2024
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