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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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