| NPI | 1346305430 |
|---|---|
| Doing Business As | KENTUCKIANA FOOT & ANKLE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | THOMAS MATTHEW GABRIEL President 502-721-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 00251) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-05-02 |