| NPI | 1194912972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN K FARRER Podiatrist 859-745-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 00208) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: KY 208) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2021-08-12 |