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

Dr. Larry K Ketcherside, DPM

Individual provider Podiatrist · NPI 1083907471

Dr. Larry K Ketcherside, DPM is a Podiatry in Louisville, Kentucky. Qualified in 2009, 17 years ago. Practices with Louisville Podiatry PSC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
17
Licensed in
KY
In the registry since
2011
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

2525 Bardstown Rd Ste 110
Louisville, KY 40205-2699
Phone: (502) 458-8989
Fax: (502) 451-5439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6707 38th Ave N, St Petersburg, FL 33710-1536 — (727) 800-9958

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 00358 (KY)

Record details

NPI number1083907471
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 18, 2011
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Louisville Podiatry Psc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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