Bryan Fallis
Bryan Fallis provides Podiatrist services in Lakeside Park, Kentucky. Licensed in Kentucky. Registered with an NPI since 2009.
- Licensed in
- KY
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
2300 Chamber Center Dr Ste 100Lakeside Park, KY 41017-1673
Phone: (859) 331-2440
Fax: (859) 331-2449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|---|
| Podiatrist | Taxonomy 213E00000X · Licence 00258 (KY) |
Record details
| NPI number | 1720314966 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bryan Fallis — Owner · (859) 331-2440 |
| Other names | Progressive Podiatry; Progressive Podiatry |
| NPI enumerated | October 22, 2009 |
| Last updated in NPPES | January 29, 2020 |
| Certification date | January 29, 2020 |
| Mailing address | Po Box 636389, Cincinnati, OH 45263-0001 |