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Organization

SOUTH CENTRAL KY ORTHOPEDICS PSC

Active
Other names
Reddy & Lessenberry PSC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LESLIE WILLIAMS (OFFICE MANAGER)
(270) 651-9390
Entity
Organization

Contact information

Practice address
106 COLUMNS PLAZA DR, GLASGOW, KY 42141
(270) 651-9390
(270) 651-8698
Mailing address
106 COLUMNS PLAZA DR, GLASGOW, KY 42141-8068
(270) 651-9390
(270) 651-8698

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
225100000X
Physical Therapist
261QP2000X
Physical Therapy Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1134122336
NPI
KY
01
1407859630
NPI
KY
01
1972506145
NPI
KY
05
64049240
KY
05
64205321
KY
05
64220510
KY
05
7100294280
KY
05
7100399620
KY
01
CC1655
RAILROAD MEDICARE
KY
Enumeration date
01/25/2007
Last updated
03/17/2021
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