NPI | 1528011418 |
---|---|
Entity Type | Organization |
Authorized Contact | HEIKO B ADAMS Owner 502-633-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 00286) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: KY 00286) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2021-04-15 |