Organization
LIVE WELL ORTHOPEDIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE JEFFRIES PA (PARTNER)
(502) 286-4644
Entity
Organization
Contact information
Practice address
8442 DIXIE HWY, LOUISVILLE, KY 40258-1140
(502) 286-4644
(502) 257-7672
Mailing address
PO BOX 991521, JEFFERSONTOWN, KY 40269-1521
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
246ZX2200X
Orthopedic Assistant
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100437600
—
KY
Enumeration date
05/07/2019
Last updated
12/06/2022
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