Organization Name: | WESTERN KENTUCKY ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES, PLLC |
NPI Number: | 1245593037 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNN D OLSON (OWNER) |
Mailing Address: | 165 Natchez Trace Ave Suite 200 Bowling Green |
State: | KY US |
Postal Code: | 421037940 |
Phone Number: | 2707964698 |
Fax Number: | 2707823274 |
NPI Enumeration Date: | 06/18/2012 |
NPI Last Update Date: | 07/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |