NPI 1093881997

Kentucky Orthopedic Rehab Team

Organisation Health Maintenance Organization Louisville, KY

Practice location

Address: 4010 Dupont Cir STE 574, Louisville, KY 40207-4843
Phone: (502) 899-9927

Authorised official

Name: Barbara Mix
Title: Credentialing Coordinator
Phone: (270) 766-1990

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1093881997
Entity type: Organization
NPI issued: 24 Nov 2006
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.