Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Henderson Orthopaedic Medical Group, PSC

Organization Orthopaedic Surgery Physician · NPI 1063410884

Henderson Orthopaedic Medical Group, PSC is an Orthopaedic Surgery Physician in Henderson, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

471 Klutey Park Plaza Dr
Henderson, KY 42420-3347
Phone: (270) 830-8032
Fax: (270) 830-8132
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X (KY)

Record details

NPI number1063410884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob O'Neill — President · (270) 830-8032
NPI enumeratedJuly 14, 2005
Last updated in NPPESJuly 21, 2022
Mailing address471 Klutey Park Plaza Dr, Henderson, KY 42420-3347

Other providers in Henderson