| NPI | 1629215058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY MOSHLUK Office Manager 859-278-7313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-12-16 |