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

Dr. Keith Wellington Myrick, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1063402972

Dr. Keith Wellington Myrick, DPM is a Podiatry in Louisville, Kentucky. Graduated from Kent State University College of Podiatric Medicine in 1999, 27 years ago. Accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
27
Trained at
Kent State University College of Podiatric Medicine
Licensed in
KY
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

6400 Dutchmans Pkwy Ste 215
Louisville, KY 40205-3340
Phone: (502) 721-8288
Fax: (502) 721-8792
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 251 (KY)

Record details

NPI number1063402972
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESAugust 30, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Also practisesORTHOPEDIC SURGERY, PERIPHERAL VASCULAR DISEASE
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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