Organization
COMMONWEALTH PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET LEE HASTE (OFFICE MANAGER)
(859) 236-5140
Entity
Organization
Contact information
Practice address
3080 HARRODSBURG RD, STE 225, LEXINGTON, KY 40503-2774
(859) 296-4272
(859) 296-9645
Mailing address
3080 HARRODSBURG RD, STE 225, LEXINGTON, KY 40503-2774
(859) 296-4272
(859) 296-9645
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
00228
KY
332BC3200X
Customized Equipment (DME)
00228
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80900244
—
KY
05
—
90009945
—
KY
Enumeration date
08/04/2006
Last updated
09/03/2013
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