Mr. Mark A Risen
Podiatrist Primary Podiatric Medicine
1003 Old Greensburg Rd
Campbellsville
, Kentucky 42718-2571
Mr. Mark A Risen
Podiatrist Primary Podiatric Medicine
1003 Old Greensburg Rd
Campbellsville
, Kentucky 42718-2571
(270) 433-2443
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About
Features
Specialties
- Podiatrist
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Mr. Mark A Risen
- 1003 Old Greensburg Rd.
- Campbellsville, KY
- Zip : 42718
- Fax : (270) 433-2443
- Phone : (270) 433-5806
Second Address
- Mr. Mark A Risen
- 1003 Old Greensburg Rd
- Campbellsville, KY
- Zip : 42718-2571
- Fax : (270) 433-2443
- Phone : (270) 433-5806
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What type of doctor is Mr. Mark A Risen
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Is Mr. Mark A Risen a sole practitioner?
Is Mr. Mark A Risen accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 00216 | KY |
| N | 222Z00000X | Podiatrist | 00216 | KY |
| Y | 213EP1101X | Primary Podiatric Medicine | 00216 | KY |
National Provider Identifier
| NPI | 1174571004 |
|---|---|
| Provider Name | Mr. Mark A Risen |
| First Address | Campbellsville, KY 42718 |
| Second Address | Campbellsville, KY 42718-2571 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2006 |
| Last Update Date | 16/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0796001 | (02) | |
| 80002165 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.