| NPI | 1376800680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HUBBARD D.P.M./Owner 502-797-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: KY 00287) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2013-04-24 |