| NPI | 1760733216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY OUTSA President 502-409-5580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 291) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2014-02-26 |