Organization
PODIATRIC PHYSICIANS OF KENTUCKY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G LEVINE DPM (OWNER)
(502) 426-7222
Entity
Organization
Contact information
Practice address
9110 LEESGATE ROAD, LOUISVILLE, KY 40222
(502) 426-7222
(502) 425-8226
Mailing address
9110 LEESGATE ROAD, LOUISVILLE, KY 40222
(502) 426-7222
(502) 425-8226
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00179
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80903453
—
KY
Enumeration date
06/05/2006
Last updated
06/03/2013
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