| NPI | 1558127282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CARTER Credentialing / Billing Manager 859-737-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |