Individual
DR. LARRY K KETCHERSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2525 BARDSTOWN RD STE 110, LOUISVILLE, KY 40205-2699
(502) 458-8989
(502) 451-5439
Mailing address
9110 LEESGATE RD, LOUISVILLE, KY 40222-5053
(502) 426-7222
(502) 425-8226
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00358
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100165100
—
KY
Enumeration date
05/18/2011
Last updated
04/09/2025
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