| NPI | 1598896334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL W. HALL Business Owner 859-623-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: KY 00274) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 00274) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2019-09-20 |