# PREMIER HEALTH SPECIALISTS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Ankle and Foot Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902211287
- **Authorized official:** KENNETH PRUNIER (CEO/PRESIDENT)
- **Authorized official phone:** (937) 499-8205

## Contact information

- **Practice address:** 1 WYOMING ST, STE 3115, DAYTON, OH 45409-2722
- **Practice address phone:** (937) 208-6745
- **Practice address fax:** (937) 208-6746
- **Mailing address:** 1 WYOMING ST, STE 3115, DAYTON, OH 45409-2722
- **Mailing address phone:** (937) 208-6745
- **Mailing address fax:** (937) 208-6746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 06/25/2014
- **Last updated:** 06/25/2014