Provider Demographics
NPI:1992855670
Name:ANKLE AND FOOT CENTER OF CENTRAL KENTUCKY, PLLC
Entity Type:Organization
Organization Name:ANKLE AND FOOT CENTER OF CENTRAL KENTUCKY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLLMER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:859-543-2500
Mailing Address - Street 1:151 N EAGLE CREEK DR
Mailing Address - Street 2:STE 201
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1889
Mailing Address - Country:US
Mailing Address - Phone:859-543-2500
Mailing Address - Fax:859-543-9680
Practice Address - Street 1:151 N EAGLE CREEK DR
Practice Address - Street 2:STE 201
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1889
Practice Address - Country:US
Practice Address - Phone:859-543-2500
Practice Address - Fax:859-543-9680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY259213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY9000956400Medicaid
KY9000956400Medicaid
KY4461880001Medicare NSC
KY2018201Medicare PIN