Organization
KENTUCKY ORTHOPEDIC REHABILITATION, LLC
Active
Parent organization
SELECT MEDICAL CORPORATION
Other names
KORT
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELECT MEDICAL CORPORATION
Authorized official
MICHAEL E TARVIN (VP AND AUTHORIZED OFFICIAL)
(717) 972-1100
Entity
Organization
Contact information
Practice address
315 E BROADWAY, #195, LOUISVILLE, KY 40202-3700
(502) 589-5961
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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