Healthcare Provider Details

I. General information

NPI: 1285705657
Provider Name (Legal Business Name): PARR ORTHOPAEDICS PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 11/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E MAXWELL STREET SUITE 202
LEXINGTON KY
40508
US

IV. Provider business mailing address

125 E MAXWELL STREET SUITE 202
LEXINGTON KY
40508
US

V. Phone/Fax

Practice location:
  • Phone: 859-253-9200
  • Fax: 859-253-9966
Mailing address:
  • Phone: 859-253-9200
  • Fax: 859-253-9966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number25519
License Number StateKY

VIII. Authorized Official

Name: DR. JEFFREY WRIGHT PARR
Title or Position: OWNER
Credential: MD
Phone: 859-253-9200