Organization
BLUEGRASS FOOT AND ANKLE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL W HALL DPM (MEMBER)
(859) 623-3550
Entity
Organization
Contact information
Practice address
326 HIGHLAND PARK DR, RICHMOND, KY 40475-3487
(859) 623-3550
(859) 623-3393
Mailing address
326 HIGHLAND PARK DR, RICHMOND, KY 40475-3487
(859) 623-3550
(859) 623-3393
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00274
KY
Other
Enumeration date
10/28/2011
Last updated
09/19/2019
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