| NPI | 1730180571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL C ALBERTSON President 606-862-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 1730180571) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2019-05-07 |