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ELIZABETHTOWN, KY
NPI1760111504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: KY  298331)
Enumeration Date2022-06-07
Last Update Date2025-08-27
Business Address
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3045 RING RD
ELIZABETHTOWN, KY 42701-7933
Phone number: 502-447-4500
Mailing Address
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3151 OXFORD W
AUBURN HILLS, MI 48326-3966
Phone number: 248-630-5039
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