Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Oldham County Foot & Ankle PLLC

Organization Podiatrist · NPI 1376969105

Oldham County Foot & Ankle PLLC is a Podiatrist in Crestwood, Kentucky. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6400 Westwind Way Ste B
Crestwood, KY 40014-6773
Phone: (502) 276-9999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X
Podiatrist Taxonomy 213E00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1376969105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jasen Pedersen — Owner · (502) 276-9999
NPI enumeratedMarch 18, 2014
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 8, 2020
Mailing address6400 Westwind Way, Suite B, Crestwood, KY 40014-6773

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