Provider Demographics
NPI:1538417423
Name:PRECISION ORTHOPEDIC, INC.
Entity type:Organization
Organization Name:PRECISION ORTHOPEDIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:N
Authorized Official - Last Name:KISER
Authorized Official - Suffix:
Authorized Official - Credentials:BOCPO/L
Authorized Official - Phone:606-326-9443
Mailing Address - Street 1:1000 ASHLAND DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-7084
Mailing Address - Country:US
Mailing Address - Phone:606-326-9443
Mailing Address - Fax:606-641-0013
Practice Address - Street 1:1000 ASHLAND DR
Practice Address - Street 2:SUITE 101
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7084
Practice Address - Country:US
Practice Address - Phone:606-326-9443
Practice Address - Fax:606-641-0013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier