Organization
MEADOWVIEW PHYSICIAN PRACTICE LLC
Active
Organization
MEADOWVIEW PHYSICIAN PRACTICE LLC
Active
Other names
Meadowview Orthopedic Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY VAUGHN (VICE PRESIDENT)
(615) 565-1556
Entity
Organization
Contact information
Practice address
901 KENTON STATION DR, MAYSVILLE, KY 41056-9609
(606) 759-5337
(606) 759-5340
Mailing address
901 KENTON STATION DR, MAYSVILLE, KY 41056-9609
(606) 759-5337
(606) 759-5340
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100142790
—
KY
Enumeration date
12/24/2009
Last updated
03/30/2012
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