| |
302 6th Ave, Dayton, KY 41074-1116 | |
(859) 757-8262 | |
(859) 282-0976 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 302 6th Ave, Dayton, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447612163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 00353 (Kentucky) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
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600 Meijer Dr Ste 104, Florence, KY 41042-4878 Ph: (859) 757-8262 | 302 6th Ave, Dayton, KY 41074-1116 Ph: (859) 757-8262 |