Organization
CENTRAL KENTUCKY ORTHOPAEDICS, PLC
Active
Organization
CENTRAL KENTUCKY ORTHOPAEDICS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY C WILSON M.D. (OWNER)
(502) 868-6106
Entity
Organization
Contact information
Practice address
101 WINDSOR PATH, SUITE 1, GEORGETOWN, KY 40324-9617
(502) 868-6106
(502) 868-6107
Mailing address
101 WINDSOR PATH, SUITE 1, GEORGETOWN, KY 40324-9617
(502) 868-6106
(502) 868-6107
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
37293
KY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/24/2006
Last updated
06/26/2015
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