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Organization
DRS. NAULTY & LAMPKIN
Active
Organization
DRS. NAULTY & LAMPKIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART A NAULTY D.P.M (PARTNER)
(270) 753-0666
Entity
Organization
Contact information
Practice address
815 BIRCH ST, BENTON, KY 42025-1337
(270) 527-7014
Mailing address
908 S 12TH ST, SUITE B, MURRAY, KY 42071-2949
(270) 753-0666
(270) 753-0684
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00160
KY
213E00000X
Podiatrist
00244
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000052090
BLUE SHIELD PIN
KY
01
—
000000052091
BLUE SHIELD PIN
KY
05
—
80001605
—
KY
05
—
80002447
—
KY
Enumeration date
03/16/2007
Last updated
09/04/2007
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