Individual
DR. MARK JOSEPH EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1610 S MAIN ST, STE. 9, HOPKINSVILLE, KY 42240-1974
(270) 885-1203
(270) 885-1561
Mailing address
1610 S MAIN ST, STE. 9, HOPKINSVILLE, KY 42240-1974
(270) 885-1203
(270) 885-1561
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00294
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8000490
—
KY
01
—
P00713506
RAILROAD MEDICARE
KY
Enumeration date
03/08/2006
Last updated
03/22/2016
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