Organization
ORTHODYNE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER T KIRSCH M.D. (PRESIDENT)
(270) 789-6629
Entity
Organization
Contact information
Practice address
190 W. BROADWAY, SUITE 103, CAMPBELLSVILLE, KY 42718-2212
(270) 789-6629
(270) 789-0424
Mailing address
PO BOX 1430, FRANKFORT, KY 40602-1430
(502) 226-3858
(502) 223-9829
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1224
KY
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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