WILLIAMSON FOOT CLINIC PLLC NPI 1376642215

NPI Information

  • NPI: 1376642215
  • Provider Name: WILLIAMSON FOOT CLINIC, PLLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 28531 US HIGHWAY 119 STE 202
    SOUTH WILLIAMSON, KY
    ZIP 41503
  • Phone: (606) 237-5000

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NPI Details

WILLIAMSON FOOT CLINIC, PLLC is a podiatrist in South Williamson, KY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. WILLIAMSON FOOT CLINIC, PLLC NPI is 1376642215. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

28531 US HIGHWAY 119 STE 202
SOUTH WILLIAMSON, KY
ZIP 41503-928
Phone: (606) 237-5000
Fax: (606) 237-5001

The provider's authorized official is Kenneth Burton Avery .
The authorized official title is Podiatrist and has the following contact phone number (606) 237-5000.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 6/17/2008.

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
1213E00000XPodiatrist00295KENTUCKYYes

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
15831580001MEDICARE NSCKENTUCKY
23810004941MEDICAIDWEST VIRGINIA
39360051MEDICARE PINWEST VIRGINIA
480900301MEDICAIDKENTUCKY
500636MEDICARE PINKENTUCKY

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: 11/21/2025

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