| NPI | 1205188711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY OUTSA President 502-409-5580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 291) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2014-02-24 |