| NPI | 1962530089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN FARRER Provider 859-745-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: KY 00208) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 00208) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2008-05-15 |