MEDICARE: STUART A NAULTY & ROGER D LAMPKIN

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	00160	KY

General Provider Information

NPI Number	:	1992868681
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STUART A NAULTY & ROGER D LAMPKIN

Provider Business Mailing Address
First Line	:	908 B SOUTH 12TH STREET
Second Line	:
City	:	MURRAY
State	:	KY
Zip	:	42071-2949
Country	:	US
Telephone Number	:	270-753-0666
Fax Number	:	270-753-0684

Provider Business Practice Location Address
First Line	:	908 B SOUTH 12TH STREET
Second Line	:
City	:	MURRAY
State	:	KY
Zip	:	42071-2949
Country	:	US
Telephone Number	:	270-753-0666
Fax Number	:	270-753-0684

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. STUART A NAULTY
Credential	:	DPM
Telephone Number	:	270-753-0666

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	03/01/2010

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