Spinesource America, L.l.c

NPI 1124025333 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1124025333
Enumeration Date 07/01/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JIM M JIM
Position CHIEF OPERATING OFFICER
Phone (859) 260-8576
Fax (859) 201-1088
Practice Location
354 WALLER AVE
STE. 110
LEXINGTON KY, 40504-2928, US
Phone (859) 260-8576
Fax (859) 201-1088
Business Location
354 WALLER AVE
STE. 102
LEXINGTON KY, 40504-2916, US
Phone (859) 260-8576
Fax (859) 201-1088
Toxanomy
Taxonomy Code 335E00000X
License State
License Number
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According to our database, Spinesource America, L.l.c NPI is 1124025333, taxonomy code is 335E00000X Spinesource America, L.l.c physically located at 354 Waller Ave, Lexington KY, 40504-2928. NPI Number 1033115704 has the healthcare provider type.

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1124025333 NPI number is provided on an as is basis without warranty of any kind. 1124025333 is maintained by the National Plan & Provider Enumeration System. The contents of Spinesource America, L.l.c are for informational purposes only.