Kentucky Podiatry Pllc

LBN: Kentucky Podiatry Pllc
Kentucky Podiatry Pllc is an health care organization with primary practice located at 3403 Gatecreek Rd , Louisville KY 40272-2687. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Kentucky Podiatry Pllc can be contacted via phone (502) 381-7563, or through Marzian, Jeffrey via phone (502) 381-7563.

Contact Information

Primary practice address
3403 Gatecreek Rd Louisville KY 40272-2687
Fax: (513) 858-7827
Website:
Authorized official contact:
Name: Marzian, Jeffrey

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00388 Kentucky

Profile Details

NPI number 1053658682
LBN Legal business name Kentucky Podiatry Pllc
DBA Doing business as
Authorized official Marzian, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2013
Last updated Mar 9th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053658682 NPPES
Kentucky MEDICAID 7100242390
Kentucky MEDICAID 201171800

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