Provider Demographics
NPI:1750744561
Name:ORTHO SOLUTIONS OF KENTUCKIANA
Entity type:Organization
Organization Name:ORTHO SOLUTIONS OF KENTUCKIANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLIFTON
Authorized Official - Middle Name:
Authorized Official - Last Name:DUKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-592-2508
Mailing Address - Street 1:1517 FABRICON BLVD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-9664
Mailing Address - Country:US
Mailing Address - Phone:502-592-2508
Mailing Address - Fax:502-303-3995
Practice Address - Street 1:1517 FABRICON BLVD
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-9664
Practice Address - Country:US
Practice Address - Phone:502-592-2508
Practice Address - Fax:502-303-3995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-30
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies