| NPI | 1689690711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN M. SCHAFFER President 502-459-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 00157) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: KY 00157) |
| 213ER0200X Podiatrist, Radiology (Licence: KY 00157) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 649749) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2016-08-30 |