| NPI | 1245390319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY C FORD President 502-897-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 00181) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 00181) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2012-01-16 |