Provider Demographics
NPI:1306179064
Name:ORTHO KENTUCKY PLLC
Entity Type:Organization
Organization Name:ORTHO KENTUCKY PLLC
Other - Org Name:LEXINGTON ORTHOPAEDIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:T
Authorized Official - Last Name:DEGNORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-278-3481
Mailing Address - Street 1:2537 LARKIN RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3201
Mailing Address - Country:US
Mailing Address - Phone:859-277-5703
Mailing Address - Fax:859-275-1624
Practice Address - Street 1:2537 LARKIN RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-3201
Practice Address - Country:US
Practice Address - Phone:859-277-5703
Practice Address - Fax:859-275-1624
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORTHO KENTUCKY PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-14
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty