Organization
FOOT DOCTORS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY C FORD DPM (PRESIDENT)
(502) 897-1616
Entity
Organization
Contact information
Practice address
142 CHENOWETH LN, LOUISVILLE, KY 40207-2651
(502) 897-1616
(502) 897-7412
Mailing address
142 CHENOWETH LN, LOUISVILLE, KY 40207-2651
(502) 897-1616
(502) 897-7412
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00181
KY
332B00000X
Durable Medical Equipment & Medical Supplies
00181
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000233615
ANTHEM
KY
01
—
CK2275
RAIL ROAD MEDICARE
—
Enumeration date
12/11/2006
Last updated
01/16/2012
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