Organization
BLUEGRASS REGIONAL FOOT AND ANKLE ASSOCIATES P S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL C ALBERTSON (PRESIDENT)
(606) 862-9900
Entity
Organization
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
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
1730180571
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78902731
—
KY
05
—
80900160
—
KY
05
—
90005737
—
KY
Enumeration date
08/02/2005
Last updated
05/07/2019
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