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Individual

DR. PAUL KARL KRESTIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1105 W 5TH ST, #3, LONDON, KY 40741-1610
(606) 862-9900
(606) 862-8901
Mailing address
1105 W 5TH ST, #3, LONDON, KY 40741-1610
(606) 862-9900
(606) 862-8901

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
264
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80000128
KY
Enumeration date
02/27/2007
Last updated
09/19/2014
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