| NPI | 1619017878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C ALLEN CEO 859-278-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 00236) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |