Individual
DR. STUART A NAULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
908 B SOUTH 12TH ST, MURRAY, KY 42071-2949
(270) 753-0666
(270) 753-0684
Mailing address
908 B SOUTH 12TH ST, MURRAY, KY 42071-2949
(270) 753-0666
(270) 753-0684
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00160
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000052090
BLUE SHIELD
KY
05
—
80001605
—
KY
05
—
90005646
—
KY
Enumeration date
08/31/2006
Last updated
10/23/2007
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