Organization
PODIATRIC PHYSICIANS OF LOUISVILLE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY K KETCHERSIDE DPM (OWNER)
(502) 426-7222
Entity
Organization
Contact information
Practice address
9110 LEESGATE RD, LOUISVILLE, KY 40222-5053
(502) 426-7222
(502) 425-8226
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
—
—
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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