Kentucky Orthopedic Rehab Team

NPI 1093881997 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1093881997
Enumeration Date 11/24/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BARBARA BARBARA
Position CREDENTIALING COORDINATOR
Phone (502) 899-9927
Fax
Practice Location
4010 DUPONT CIR STE 574
LOUISVILLE KY, 40207-4843, US
Phone (502) 899-9927
Fax
Business Location
4010 DUPONT CIR STE 574
LOUISVILLE KY, 40207-4843, US
Phone (502) 899-9927
Fax
Toxanomy
Taxonomy Code 302R00000X
License State Kentucky
License Number =========
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According to our database, Kentucky Orthopedic Rehab Team NPI is 1093881997, taxonomy code is 302R00000X and license number is =========, license state is located at Kentucky. Kentucky Orthopedic Rehab Team physically located at 4010 Dupont Cir Ste 574, Louisville KY, 40207-4843. NPI Number 1033115704 has the healthcare provider type.

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1093881997 NPI number is provided on an as is basis without warranty of any kind. 1093881997 is maintained by the National Plan & Provider Enumeration System. The contents of Kentucky Orthopedic Rehab Team are for informational purposes only.