Individual
ORLA MARY ROONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
120 N EAGLE CREEK DR, SUITE 440, LEXINGTON, KY 40509-1827
(859) 258-5900
(859) 258-5905
Mailing address
100 N EAGLE CREEK DR, 3RD FLOOR, LEXINGTON, KY 40509-1827
(859) 258-5900
(859) 258-5905
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
00267
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
00267
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
243989
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36000818
MEDICAID ASC GROUP
KY
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
80000086
—
KY
01
—
ASC1019
MEDICARE ASC GROUP
KY
01
—
CB5773
RR MEDICARE GROUP
KY
01
—
P00186649
RR MEDICARE PIN
KY
Enumeration date
07/18/2006
Last updated
11/12/2018
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