Organization
ADVANCED FOOT CARE OF NORTHERN KY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GRANT DPM (PHYSICIAN)
(859) 291-9100
Entity
Organization
Contact information
Practice address
1880 ASHWOOD CIR, FT WRIGHT, KY 41011-2602
(859) 291-9100
(859) 291-9101
Mailing address
1880 ASHWOOD CIR, FT WRIGHT, KY 41011-2602
(859) 291-9100
(859) 291-9101
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
K237
KY
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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