Organization
FOOT AND ANKLE CARE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDY NONGLAK OUTSA DPM (PRESIDENT)
(502) 409-5580
Entity
Organization
Contact information
Practice address
6407 PRESTON HWY, SUITE #1, LOUISVILLE, KY 40219-1850
(502) 409-5580
(502) 409-5582
Mailing address
6407 PRESTON HWY, SUITE #1, LOUISVILLE, KY 40219-1850
(502) 409-5580
(502) 409-5582
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00291
KY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100124330
—
KY
Enumeration date
05/25/2010
Last updated
01/23/2024
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