| Kort-kentucky Orthopedic Rehab Team | |
|
3901 Dutchmans Ln Ste 104 Louisville KY 40207-4726 | |
| (502) 899-9927 | |
| Not Available |
| Full Name | Kort-kentucky Orthopedic Rehab Team |
|---|---|
| Speciality | Clinic/center |
| Location | 3901 Dutchmans Ln Ste 104, Louisville, Kentucky |
| Authorized Official Name and Position | Barbara Mix (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2702341438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kort-kentucky Orthopedic Rehab Team 3901 Dutchmans Ln Ste 104 Louisville KY 40207-4726 Ph: (502) 899-9927 | Kort-kentucky Orthopedic Rehab Team 3901 Dutchmans Ln Ste 104 Louisville KY 40207-4726 Ph: (502) 899-9927 |
| NPI Number | 1265606222 |
|---|---|
| Provider Enumeration Date | 04/21/2008 |
| Last Update Date | 04/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265606222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | R2738 (Kentucky) | Primary |
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