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Organization

DRS. NAULTY & LAMPKIN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STUART A NAULTY D.P.M (PARTNER)
(270) 753-0666
Entity
Organization

Contact information

Practice address
815 BIRCH ST, BENTON, KY 42025-1337
(270) 527-7014
Mailing address
908 S 12TH ST, SUITE B, MURRAY, KY 42071-2949
(270) 753-0666
(270) 753-0684

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00160
KY
213E00000X
Podiatrist
00244
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000052090
BLUE SHIELD PIN
KY
01
000000052091
BLUE SHIELD PIN
KY
05
80001605
KY
05
80002447
KY
Enumeration date
03/16/2007
Last updated
09/04/2007
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