| NPI | 1417980400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD YOUNG Dpm Owner 270-846-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 230) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2013-07-08 |