Healthcare Provider Details

I. General information

NPI: 1558127282
Provider Name (Legal Business Name): FRANKFORT FOOT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2024
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 PHYSICIANS PARK STE 3
FRANKFORT KY
40601-4163
US

IV. Provider business mailing address

5 PHYSICIANS PARK STE 3
FRANKFORT KY
40601-4163
US

V. Phone/Fax

Practice location:
  • Phone: 502-227-7569
  • Fax:
Mailing address:
  • Phone: 502-227-7569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DAVID CARTER
Title or Position: CREDENTIALING / BILLING MANAGER
Credential:
Phone: 859-737-0904