Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 162981 | CA |
Y | 207X00000X | Orthopaedic Surgeon | 54088 | KY |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 54088 | KY |
NPI | 1437577590 |
---|---|
Provider Name | Joseph A Polio |
First Address | Owensboro, KY 42303-1320 |
Second Address | Owensboro, KY 42303-1320 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2014 |
Last Update Date | 28/08/2020 |