Individual provider · Type 1 NPI
Jasen Thomas Pedersen, DPM
Foot & Ankle Surgery Podiatrist · Crestwood, KY
NPI number
1114182326
Active
Practice location
6400 Westwind Way, Suite B
Crestwood, KY 40014-6773
Fax (502) 276-9999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 243971 (KY) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 243971 (KY) |
Foot & Ankle Surgery Podiatrist: Definition to come...
7 other providers at this address
- Distler, Huntington & Blair PSCOphthalmology Physician Crestwood, KY NPI 1972652998
- Distler, Huntington & Blair, PSCOphthalmology Physician Crestwood, KY NPI 1093034605
- Oldham County Foot & Ankle PLLCFoot & Ankle Surgery Podiatrist Crestwood, KY NPI 1376969105
- Andrew Steele, ODOptometrist Crestwood, KY NPI 1942685169
- Anne Chadburn Huntington, MDOphthalmology Physician Crestwood, KY NPI 1841289220
- Bryan M. Blair, MDOphthalmology Physician Crestwood, KY NPI 1417945478
- John A. Distler, MDOphthalmology Physician Crestwood, KY NPI 1326036385
About NPI 1114182326
Jasen Thomas Pedersen, DPM's National Provider Identifier is 1114182326, issued on Jul 28, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Crestwood, KY. The record was last updated on Apr 27, 2020.