ADVANCED FOOT & ANKLE CARE LLC NPI 1528270402

NPI Information

NPI: 1528270402
Provider Name: ADVANCED FOOT & ANKLE CARE LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
708 WESTPORT RD
SUITE 102
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 769-1303
Get Directions

ADVANCED FOOT & ANKLE CARE LLC is a foot and ankle surgery podiatrist in Elizabethtown, KY. ADVANCED FOOT & ANKLE CARE LLC NPI is 1528270402. The provider is registered as an organization entity type.

The provider's business location address is:

708 WESTPORT RD
SUITE 102
ELIZABETHTOWN, KY
ZIP 42701-866
Phone: (270) 769-1303

The provider's authorized official is Russell Lynn Mckinley .
The authorized official title is Owner and has the following contact phone number (270) 769-1303.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 2/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	00280	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100320600	MEDICAID	KENTUCKY
2	DA7050	OTHER	KENTUCKY	RAILROAD MEDICARE
3	7184550001	MEDICARE NSC	KENTUCKY
4	80900194	MEDICAID	KENTUCKY
5	7750	MEDICARE PIN	KENTUCKY
6	50002812	OTHER	KENTUCKY	PASSPORT HEALTH PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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