| |
210 E Gray St # 820, Louisville, KY 40202-3900 | |
(502) 585-3668 | |
(502) 585-3662 |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 210 E Gray St # 820, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821651852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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6400 Dutchmans Pkwy Ste 215, Louisville, KY 40205-3343 Ph: (502) 721-8288 | 210 E Gray St # 820, Louisville, KY 40202-3900 Ph: (502) 585-3668 |