Keith Wellington Myrick in Louisville - Foot & Ankle Surgery

Keith Wellington Myrick - NPI 1063402972

Keith Wellington Myrick is a Foot & Ankle Surgery in Louisville, Kentucky. Keith Wellington Myrick practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Keith Wellington Myrick is 1063402972. The last update date is 2016-08-30.

Keith Wellington Myrick's current location address is 6400 Dutchmans Pkwy, Louisville, Kentucky. You can contact this provider via phone number 5027218288 and fax number 5027218792. The mailing address for Keith Wellington Myrick is 6400 Dutchmans Pkwy, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith Wellington Myrick
Address 6400 Dutchmans Pkwy, Louisville, Kentucky
Phone Number 5027218288
Fax Number 5027218792
Sole Proprietor N
Credentials D.P.M.

NPI Number Detail

NPI Number 1063402972
Provider Enumeration Date 2005-10-24
Last Updated Date 2016-08-30

Provider Mailing Address Detail

Address 6400 Dutchmans Pkwy
City Louisville
State Kentucky (KY)
Post Code 402053340
Phone Number 5027218288
Fax Number 5027218792

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No 251
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
382017 KY BLUE PREFERRED (ANTHEM)
201363620 IN --
80000318 KY --
50007597 KY PASSPORT

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FAQs about Keith Wellington Myrick

What is the unique provider identifier assigned to Keith Wellington Myrick?

The Keith Wellington Myrick has been issued the NPI (National Provider Identifier) 1063402972 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Keith Wellington Myrick is located?

The Keith Wellington Myrick is situated at the following address: 6400 Dutchmans Pkwy, Louisville, KY, 402053340.

What is Keith Wellington Myrick's specialized field of practice, and what is the corresponding taxonomy classification code?

The Keith Wellington Myrick's area of specialization is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0103X.

When did Keith Wellington Myrick receive its 1063402972 assignment?

The Keith Wellington Myrick was assigned its 1063402972 on 2005-10-24, which is the date when this unique identifier was issued to the organization.

As of what date were the Keith Wellington Myrick's details last updated?

The information pertaining to the Keith Wellington Myrick, including its address, specialty, and other details, was most recently updated on 2016-08-30.

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