Individual
MR. MARK A RISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1003 OLD GREENSBURG RD, CAMPBELLSVILLE, KY 42718-2571
(270) 433-5806
(270) 433-2443
Mailing address
PO BOX 645996, CINCINNATI, OH 45264-5996
(270) 651-4444
(270) 651-4892
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
00216
KY
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
00216
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80002165
—
KY
Enumeration date
05/04/2006
Last updated
07/10/2025
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