NPI 1750822771

Billy Ray Campbell, CPEDCFO

Practitioner Orthotic Fitter Louisville, KY

Practice location

Address: 315 E Broadway STE 1400, Louisville, KY 40202-3700
Phone: (502) 629-8640
Fax: (502) 629-5527
Mailing address: 3401 Imperator Ln Unit 102, Louisville, KY 40245-7707

Registered specialties (2)

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence CFO04010 (KY)

Other Orthotic Fitter providers in Kentucky →

Pedorthist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence CPED3595 (KY)

Other Pedorthist providers in Kentucky →

Registry record

NPI: 1750822771
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Mar 2017
Record last updated: 9 Mar 2017

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.