| NPI | 1568679801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN KEITH MAUSER Podiatrist 502-458-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 176) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2011-10-13 |