Kentucky Podiatry Pllc, NPI 1053658682
Podiatrist in Louisville, KY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1053658682
NPI Entity Type Organization
Provider Name Kentucky Podiatry Pllc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 3403 Gatecreek Rd, Louisville, KY, US
Provider Mailing Address 3403 Gatecreek Rd, Louisville, KY, US, 402722687
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Jeffrey Marzian
Official Position DPM
Phone 502-381-7563

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

213E00000X

Taxonomy Name Podiatrist
Classification

Podiatrist

Group

Podiatric Medicine & Surgery Service Providers

License No. 00388
License State KY
Description A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Business Address

Kentucky Podiatry Pllc
3403 Gatecreek Rd

Louisville, KY, US

Phone: 502-381-7563
Fax: 513-858-7827

Mailing Address

Kentucky Podiatry Pllc
3403 Gatecreek Rd
Louisville, KY, US
ZIP 402722687
Phone: 502-381-7563
Fax: 513-858-7827

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
7100242390 KY MEDICAID 05
201171800 IN MEDICAID 05

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DO John M Fleming

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911 Bypass Rd Bldg A

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