Organization
BAPTIST HEALTH RICHMOND INC
Active
Other names
Advanced Orthopaedics & Sports Medicine of Kentucky
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAT OLDS (CFO)
(859) 625-3115
Entity
Organization
Contact information
Practice address
789 EASTERN BYP, SUITE 5, RICHMOND, KY 40475-2415
(859) 624-0012
(859) 624-0899
Mailing address
789 EASTERN BYP, SUITE 5, RICHMOND, KY 40475-2415
(859) 624-4110
(859) 624-0899
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000311396
ANTHEM PIN
KY
05
—
65940025
—
KY
05
—
7100258740
—
KY
05
—
7100258750
—
KY
01
—
DB5273
TRAVELLERS MEDICARE
KY
Enumeration date
11/30/2011
Last updated
02/27/2014
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