Provider Demographics
NPI:1194912972
Name:FEET FIRST PODIATRY PLLC
Entity type:Organization
Organization Name:FEET FIRST PODIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:K
Authorized Official - Last Name:FARRER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:859-745-7890
Mailing Address - Street 1:2148 AMI 2N
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40516-9602
Mailing Address - Country:US
Mailing Address - Phone:859-749-2945
Mailing Address - Fax:859-745-7891
Practice Address - Street 1:2148 AMI 2N
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40516-9602
Practice Address - Country:US
Practice Address - Phone:859-749-2945
Practice Address - Fax:859-745-7891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY208213E00000X
KY00208332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100023860OtherMEDICAID DME
KY7100024170Medicaid
KY7100023860OtherMEDICAID DME
KY7100024170Medicaid
KY00494002Medicare PIN
KY00494Medicare PIN