Keith Wellington Myrick D.P.M.

NPI 1063402972 - Podiatrist - 213ES0103X

NPI Details
NPI 1063402972
Gender Male
Enumeration Date 10/24/2005
Last Updated 10/17/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
6400 DUTCHMANS PKWY
SUITE 215
LOUISVILLE KY, 40205-3340, US
Phone (502) 721-8288
Fax (502) 721-8792
Business Location
6400 DUTCHMANS PKWY
SUITE 215
LOUISVILLE KY, 40205-3340, US
Phone (502) 721-8288
Fax (502) 721-8792
Toxanomy
Taxonomy Code 213ES0103X
License State Kentucky
License Number 251
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According to our database, Dr. Keith Wellington Myrick D.P.M. NPI is 1063402972, taxonomy code is 213ES0103X and license number is 251, license state is located at Kentucky. Keith Wellington Myrick D.P.M. physically located at 6400 Dutchmans Pkwy, Louisville KY, 40205-3340. NPI Number Keith Wellington Myrick D.P.M. has the Individual type.

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1063402972 NPI number is provided on an as is basis without warranty of any kind. 1063402972 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Wellington Myrick D.P.M. are for informational purposes only.