Organization
PIKEVILLE FOOT CARE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADWELL S. CHANEY DPM (OWNER)
(606) 432-0003
Entity
Organization
Contact information
Practice address
126 TRIVETTE DRIVE, SUITE 101, PIKEVILLE, KY 41501
(606) 432-0003
(606) 432-0076
Mailing address
126 TRIVETTE DRIVE, SUITE 101, PIKEVILLE, KY 41501
(606) 432-0003
(606) 432-0076
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80900269
—
KY
Enumeration date
04/19/2006
Last updated
02/23/2015
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