Organization
ORTHOCINCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN M. REIS (CEO)
(859) 817-7070
Entity
Organization
Contact information
Practice address
525 ALEXANDRIA PIKE, SUITE 200, SOUTHGATE, KY 41071
(859) 301-2663
(859) 301-0655
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 301-0655
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213E00000X
Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65927881
—
KY
05
—
80900186
—
KY
05
—
90008962
—
KY
Enumeration date
10/09/2008
Last updated
06/04/2018
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