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Organization

SOUTH CENTRAL KENTUCKY ORTHOPEDICS

Active
Parent organization
REDDY & LESSENBERRY PSC
Organization subpart
Yes

Provider details

NPI number
Legal business name
REDDY & LESSENBERRY PSC
Authorized official
WHITNEY BROOKS SMITH DPT (PHYSICAL THERAPIST)
(270) 651-9390
Entity
Organization

Contact information

Practice address
106 COLUMNS PLAZA DR, GLASGOW, KY 42141
(270) 651-7146
Mailing address
106 COLUMNS PLAZA DR, GLASGOW, KY 42141-8068
(270) 651-9390
(270) 629-3156

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006312
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023430386
NPI
01
1184099103
NPI
05
7100294280
KY
05
7100399620
KY
Enumeration date
11/20/2013
Last updated
05/30/2018
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