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1083907471
LARRY K KETCHERSIDE
LOUISVILLE, KY
NPI
1083907471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: KY 00358)
Enumeration Date
2011-05-18
Last Update Date
2014-01-31
Business Address
Dr. LARRY K KETCHERSIDE DPM
9110 LEESGATE RD
LOUISVILLE, KY 40222-5053
Phone number: 502-426-7222
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Mailing Address
Dr. LARRY K KETCHERSIDE DPM
9110 LEESGATE RD
LOUISVILLE, KY 40222-5053
Phone number: 502-426-7222
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