Organization
ASSOCIATED FOOT AND ANKLE CLINICS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD YOUNG DPM (DPM OWNER)
(270) 846-3338
Entity
Organization
Contact information
Practice address
1830 DESTINY LN, SUITE 110, BOWLING GREEN, KY 42104
(270) 846-3338
(270) 846-3318
Mailing address
1830 DESTINY LN, SUITE 110, BOWLING GREEN, KY 42104
(270) 846-3338
(270) 846-3318
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
230
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80900319
—
KY
01
—
90004391
MEDICAID DME
KY
01
—
DF9516
RAILROAD MEDICARE
KY
Enumeration date
07/10/2006
Last updated
07/08/2013
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