MEDICARE: ANN K PINSKI D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	00179	KY
2	213ES0103X	Foot & Ankle Surgery Podiatrist	00179	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578563458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN K PINSKI D.P.M.

Provider Business Mailing Address
First Line	:	3901 DUTCHMANS LN
Second Line	:	SUITE 103
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-4722
Country	:	US
Telephone Number	:	502-741-4905
Fax Number	:	502-409-4275

Provider Business Practice Location Address
First Line	:	3901 DUTCHMANS LN
Second Line	:	SUITE 103
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-4722
Country	:	US
Telephone Number	:	502-741-4905
Fax Number	:	502-409-4275

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	10/03/2012

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Directions to “ ANN K PINSKI D.P.M.” Practice Location

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