Individual
DR. MARK DAVID PELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
525 ALEXANDRIA PIKE, SOUTHGATE, KY 41071-3290
(859) 212-0175
(859) 441-3698
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(592) 120-1758
(859) 655-8911
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
243972
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006335
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0382069
—
OH
05
—
7100640210
—
KY
Enumeration date
06/28/2012
Last updated
02/24/2025
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