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Organization
ASSOCIATED FOOT AND ANKLE CLINICS PSC
Active
Organization
ASSOCIATED FOOT AND ANKLE CLINICS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD YOUNG DPM (DPM OWNER)
(270) 846-3338
Entity
Organization
Contact information
Practice address
1830 DESTINY LN, SUITE 110, BOWLING GREEN, KY 42104
(270) 846-3338
(270) 846-3318
Mailing address
1830 DESTINY LN, SUITE 110, BOWLING GREEN, KY 42104
(270) 846-3338
(270) 846-3318
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
230
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80900319
—
KY
01
—
90004391
MEDICAID DME
KY
01
—
DF9516
RAILROAD MEDICARE
KY
Enumeration date
07/10/2006
Last updated
07/08/2013
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