Provider Demographics
NPI:1689084402
Name:KENTUCKY FOOT & ANKLE SOLUTIONS PLLC
Entity Type:Organization
Organization Name:KENTUCKY FOOT & ANKLE SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:502-384-4024
Mailing Address - Street 1:4642 CHAMBERLAIN LN
Mailing Address - Street 2:SUITE 249
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-2156
Mailing Address - Country:US
Mailing Address - Phone:502-384-4024
Mailing Address - Fax:502-371-5441
Practice Address - Street 1:4642 CHAMBERLAIN LN
Practice Address - Street 2:SUITE 249
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-2156
Practice Address - Country:US
Practice Address - Phone:502-384-4024
Practice Address - Fax:502-371-5441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-01
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty