# ORLA MARY ROONEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407875743
- **Gender:** F
- **Credential:** D.P.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | 00267 | KY | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 00267 | KY | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 243989 | KY | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 11/12/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 36000818 | MEDICAID ASC GROUP | KY |
| 01 | — | 37903705 | MEDICAID LAB GROUP | KY |
| 01 | — | 4000501 | MEDICARE LAB GROUP | KY |
| 05 | — | 80000086 | — | KY |
| 01 | — | ASC1019 | MEDICARE ASC GROUP | KY |
| 01 | — | CB5773 | RR MEDICARE GROUP | KY |
| 01 | — | P00186649 | RR MEDICARE PIN | KY |