| |
123 N 19th St, Middlesboro, KY 40965-2865 | |
(606) 248-2739 | |
(606) 248-2730 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 123 N 19th St, Middlesboro, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225220379 | NPI | - | NPPES |
3351921 | Medicaid | TN | |
80002017 | Medicaid | KY | |
0191729 | Other | TN | BCBS |
000000053556 | Other | KY | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 30924 (Kentucky) | Primary |
Mailing Address | Practice Location Address |
---|---|
10810 Parkside Dr Ste 202, Knoxville, TN 37934-1981 Ph: (865) 218-7474 | 123 N 19th St, Middlesboro, KY 40965-2865 Ph: (606) 248-2739 |
Richard D. Calhoun, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3504 Cumberland Ave, Middlesboro, KY 40965 Phone: 606-248-0737 |