Kentucky Orthopedic Rehab Team
NPI #1093881997 in Louisville, Kentucky
Provider Information
- NPI Number
- 1093881997
- Entity Type
- Organization
- Organization Name
- Kentucky Orthopedic Rehab Team
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Nov 24, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 4010 DUPONT CIR STE 574
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40207-4843
- Phone
- (502) 899-9927
Authorized Official
- Name
- BARBARA MIX
- Title
- CREDENTIALING COORDINATOR
- Phone
- (270) 766-1990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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