| NPI | 1225441181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HAGY CFO 606-218-3567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: KY 100366) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-07-30 |