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Dr. Jasen Thomas Pedersen, DPM
Foot & Ankle Surgery Podiatrist in Crestwood, Kentucky
NPI 1114182326

Jasen Thomas Pedersen is a Foot & Ankle Surgery Podiatrist based in Crestwood, KY and is specialized in Foot & Ankle Surgery. Jasen Thomas Pedersen practices in Crestwood, KY and has the professional credentials of DPM. The NPI Number for Jasen Thomas Pedersen is 1114182326 and holds a License No. 243971 (Kentucky).

The current practice location address for Jasen Thomas Pedersen is 6400 Westwind Way, Crestwood, KY and can be reached out via phone at 502-276-9999 and via fax at 502-276-9999.

Location: 6400 Westwind Way, Crestwood, KY, 40014-6773
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114182326
Provider Name
Jasen Thomas Pedersen
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
6400 Westwind Way, Crestwood, KY, 40014-6773
Phone Number
502-276-9999
Fax Number
502-276-9999
Provider Enumeration Date
07/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100170810 05 KY
000000866560 01 KY ANTHEM
institution
Provider Business Practice Location Address Details
Address
6400 Westwind Way
City
Crestwood
State
Kentucky
Zip
40014-6773
Phone Number
502-276-9999
Fax Number
502-276-9999
person
Provider Business Mailing Address Details
Address
6400 Westwind Way
City
Crestwood
State
Kentucky
Zip
40014-6773
Phone Number
502-276-9999
Fax Number
502-276-9999
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
243971 (Kentucky)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
243971 (Kentucky)
Definition
Definition to come...
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