Individual provider · Type 1 NPI
Mark A. Risen, DPM
Primary Podiatric Medicine Podiatrist · Campbellsville, KY
NPI number
1174571004
Active
Practice location
1003 Old Greensburg Rd
Campbellsville, KY 42718-2571
Fax (270) 433-2443
Mailing address
PO Box 645996
Cincinnati, OH 45264-5996
Other practice locations
- 138 Campbellsville Byp, Campbellsville, KY 42718-8843 · (270) 433-5806
- 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 · (270) 651-6791
- 810 Jamestown St, Columbia, KY 42728-1010 · (270) 384-4764
- 1301 N Race St, Glasgow, KY 42141-3483 · (270) 651-4444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 00216 (KY) |
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 00216 (KY) |
Primary Podiatric Medicine Podiatrist: Definition to come...
Another provider at this address
About NPI 1174571004
Mark A. Risen, DPM's National Provider Identifier is 1174571004, issued on May 4, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Campbellsville, KY. The record was last updated on Jul 10, 2025.