Individual provider · Type 1 NPI
Keith Wellington Myrick, D.P.M.
Foot & Ankle Surgery Podiatrist · Louisville, KY
NPI number
1063402972
Active
Practice location
6400 Dutchmans Pkwy, Suite 215
Louisville, KY 40205-3340
Fax (502) 721-8792
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 251 (KY) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1063402972
Keith Wellington Myrick, D.P.M.'s National Provider Identifier is 1063402972, issued on Oct 24, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Louisville, KY. The record was last updated on Aug 30, 2016.