Organization
ORTHO KENTUCKY PLLC
Active
Parent organization
ORTHO KENTUCKY PLLC
Other names
orthopedic consultants
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHO KENTUCKY PLLC
Authorized official
DR. LISA T DEGNORE (MEMBER)
(859) 278-3481
Entity
Organization
Contact information
Practice address
1760 NICHOLASVILLE RD, STE 604, LEXINGTON, KY 40503-1471
(859) 255-9059
(859) 254-3112
Mailing address
1780 NICHOLASVILLE RD, STE 501, LEXINGTON, KY 40503-1400
(859) 278-3481
(859) 277-7365
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660416
ANTHEM BCBS
KY
05
—
7100107490
—
KY
Enumeration date
09/15/2009
Last updated
07/19/2010
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