Organization Name: | ADVANCED ORTHOPAEDICS OF LOUISVILLE PLLC |
NPI Number: | 1356450613 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARROLL LEWIS WITTEN,JR (PARTNER) |
Mailing Address: | 4001 Kresge Way Ste 330 Baptist East Office Park Louisville |
State: | KY US |
Postal Code: | 402074640 |
Phone Number: | 5028972440 |
Fax Number: | 5028972455 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 11/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25869 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |