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Contact Information

SOUTHERN ORTHOPEDIC ASSOCIATES, S.C.
4787 ALBEN BARKLEY DRIVE
PADUCAH, KY42002
 Phone: 270-442-9461
 Fax: 270-441-0079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SOUTHERN ORTHOPEDIC ASSOCIATES SC · (Female)

NPI # 1427165554
Status Active
Credentials
Entity Individual
Enumeration date 08/24/2006
Last updated 12/02/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 042617215
  • KY Medicaid 7100080520
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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