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Organization

STUART A NAULTY DPM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA JOHNSON (OFFICE MANAGER)
(270) 382-3112
Entity
Organization

Contact information

Practice address
815 BIRCH ST, BENTON, KY 42025-1337
(270) 527-7014
(270) 527-7014
Mailing address
PO BOX 374, BENTON, KY 42025-0374
(270) 527-7014
(270) 527-7014

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
KY

Other

Enumeration date
02/05/2015
Last updated
02/05/2015
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