NPI | 1154346948 |
---|---|
Doing Business As | CENTRAL KY FOOT SPECIALISTS |
Entity Type | Organization |
Authorized Contact | MARK A RISEN Owner 270-789-4342 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: KY 00216) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-07-13 |
Last Update Date | 2017-09-01 |