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Organization
FOOT AND ANKLE CARE, PSC
Active
Organization
FOOT AND ANKLE CARE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDY NONGLAK OUTSA DPM (PRESIDENT)
(502) 409-5580
Entity
Organization
Contact information
Practice address
6407 PRESTON HWY, SUITE #1, LOUISVILLE, KY 40219-1850
(502) 409-5580
(502) 409-5582
Mailing address
6407 PRESTON HWY, SUITE #1, LOUISVILLE, KY 40219-1850
(502) 409-5580
(502) 409-5582
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00291
KY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100124330
—
KY
Enumeration date
05/25/2010
Last updated
01/23/2024
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