| NPI | 1245241819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY A WEBB Co Owner 606-889-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: KY 00186) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-07-10 |