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Organization
UNIVERSITY PODIATRIC SURGERY AND LIMB PRESERVATION PLLC
Active
Organization
UNIVERSITY PODIATRIC SURGERY AND LIMB PRESERVATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM B HICKS DPM (OWNER)
(502) 583-8303
Entity
Organization
Contact information
Practice address
401 E CHESTNUT ST, SUITE 710, LOUISVILLE, KY 40202-5707
(502) 583-8303
(502) 583-2051
Mailing address
401 E CHESTNUT ST, SUITE 710, LOUISVILLE, KY 40202-5707
(502) 583-8303
(502) 583-2051
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00317
KY
335E00000X
Prosthetic/Orthotic Supplier
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100169670
—
KY
Enumeration date
05/31/2011
Last updated
05/23/2012
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