| NPI | 1366691792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINE A. VALENTINO Provider/Sole Member 502-303-2339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2014-07-10 |