Healthcare Provider Details

I. General information

NPI: 1992855670
Provider Name (Legal Business Name): ANKLE AND FOOT CENTER OF CENTRAL KENTUCKY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 12/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 N EAGLE CREEK DR STE 201
LEXINGTON KY
40509-1889
US

IV. Provider business mailing address

151 N EAGLE CREEK DR STE 201
LEXINGTON KY
40509-1889
US

V. Phone/Fax

Practice location:
  • Phone: 859-543-2500
  • Fax: 859-543-9680
Mailing address:
  • Phone: 859-543-2500
  • Fax: 859-543-9680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number259
License Number StateKY

VIII. Authorized Official

Name: DR. AMY FOLLMER
Title or Position: MEMBER
Credential: D.P.M.
Phone: 859-543-2500