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Organization

KENTUCKY PODIATRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY MARZIAN (DPM)
(502) 381-7563
Entity
Organization

Contact information

Practice address
3403 GATECREEK RD, LOUISVILLE, KY 40272-2687
(502) 381-7563
(513) 858-7827
Mailing address
3403 GATECREEK RD, LOUISVILLE, KY 40272-2687
(502) 381-7563
(513) 858-7827

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00388
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201171800
IN
05
7100242390
KY
Enumeration date
01/16/2013
Last updated
03/09/2020
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