Organization
ELLIS & BADENHAUSEN ORTHOPAEDICS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHANA M PRESTON CPC (BILLING DIRECTOR)
(502) 587-1236
Entity
Organization
Contact information
Practice address
5120 DIXIE HWY STE 103, LOUISVILLE, KY 40216-1775
(502) 587-1236
(502) 587-0126
Mailing address
PO BOX 32486, LOUISVILLE, KY 40232-2486
(502) 587-1236
(502) 587-0126
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0643220002
KY
Other
Enumeration date
08/22/2006
Last updated
02/27/2025
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