| NPI | 1699906552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM DIDYK President 502-426-4228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 348) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2019-01-16 |