Whalio Doctors

NPI 1063402972

Keith Wellington Myrick, DPM

Practitioner Foot & Ankle Surgery Podiatrist Louisville, KY

Practice location

Address
6400 Dutchmans Pkwy Suite 215, Louisville, KY 40205-3340
Phone
(502) 721-8288
Fax
(502) 721-8792

Registered specialties

Foot & Ankle Surgery Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 251 (KY)

Registry record

NPI
1063402972
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Oct 2005
Record last updated
30 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.