Organization
BLUEGRASS REGIONAL FOOT & ANKLE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL K KRESTIK DPM (PHYSICIAN/OWNER)
(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
363L00000X
Nurse Practitioner
Primary
5140P
KY
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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