Organization
THIRD STREET SURGICAL CENTER
Active
Organization
THIRD STREET SURGICAL CENTER
Active
Parent organization
CENTRALKENTUCKY SPINE SURGERY, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRALKENTUCKY SPINE SURGERY, PLLC
Authorized official
DR. ROBERT PAUL KNETSCHE M.D. (OWNER/PHYSICIAN)
(859) 238-7746
Entity
Organization
Contact information
Practice address
236 W MAIN ST STE 202, DANVILLE, KY 40422-1876
(859) 238-7746
(859) 236-0261
Mailing address
236 W MAIN ST STE 202, DANVILLE, KY 40422-1876
(859) 238-7746
(859) 236-0261
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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