Organization · NPI-2

Advanced Foot & Ankle PLLC

Clinic/Center, Podiatric · Louisville, KY

NPI number1780776567
StatusActive
Last updated in NPPESOct 15, 2020

Details

NPI
1780776567
Entity type
Organization (NPI-2)
Legal business name
Advanced Foot & Ankle PLLC
Organization subpart
No
Enumeration date
Sep 29, 2006
Certification date
Oct 15, 2020
Last updated
Oct 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP1100X Clinic/Center, Podiatric––Yes
332B00000X Durable Medical Equipment & Medical Supplies––

Practice location

3430 Newburg Rd
Ste 153
Louisville, KY 40218

Phone 502-459-8127 · Fax 502-459-8620

Mailing address

3430 Newburg Rd
Ste 153
Louisville, KY 40218

Phone 502-459-8127 · Fax 502-459-8620

Authorized official

John T Sanders
Owner
5024598127

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