Central Ky Foot Specialists
LBN: Mark A Risen, Dpm,
Central Ky Foot Specialists is an health care organization with primary practice located at 1003 Old Greensburg Rd , Campbellsville KY 42718-2571. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty.
Mark A Risen, Dpm, can be contacted via phone (270) 789-4342, or through Risen, Mark A via phone (270) 789-4342.
Contact Information
Primary practice address
1003 Old Greensburg Rd
Campbellsville KY 42718-2571
Phone: (270) 789-4342
Fax: (270) 465-3305
Website:
Authorized official contact:
Name: Risen, Mark A Doctor of Podiatric Medicine (DPM)
Phone: (270) 789-4342
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 00216 | Kentucky |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1154346948 |
|---|---|
| LBN Legal business name | Mark A Risen, Dpm, |
| DBA Doing business as | Central Ky Foot Specialists |
| Authorized official | Risen, Mark A Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Sep 1st, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154346948 | NPPES |
| Kentucky | MEDICAID | 80002165 |
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