Organization
ST. MATTHEWS FOOT AND ANKLE CLINIC
Active
Other names
Feet First
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY SHOOPMAN (OFFICE MANAGER)
(270) 433-5806
Entity
Organization
Contact information
Practice address
117 S HUBBARDS LN, SUITE 102, LOUISVILLE, KY 40207-3937
(270) 433-5806
(270) 433-2443
Mailing address
117 S HUBBARDS LN, SUITE 102, LOUISVILLE, KY 40207-3937
(270) 433-5806
(270) 433-2443
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
195
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000290617
BLUECROSS
KY
Enumeration date
05/05/2006
Last updated
12/02/2009
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