NPI | 1114142973 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES JOHN ZIMMERMANN Physician 859-236-5140 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: KY KY206) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 00206) |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: KY 00206) | |
Enumeration Date | 2007-04-16 |
Last Update Date | 2008-11-05 |