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Bryan Fallis
Durable Medical Equipment & Medical Supplies in Lakeside Park, Kentucky
NPI 1720314966

Bryan Fallis is a Durable Medical Equipment & Medical Supplies based in Cincinnati, KY. Bryan Fallis practices in Lakeside Park, KY. The NPI Number for Bryan Fallis is 1720314966 and holds a License No. 00258 (Kentucky).

The current practice location address for Bryan Fallis is 2300 Chamber Center Dr, Lakeside Park, KY and can be reached out via phone at 859-331-2440 and via fax at 859-331-2449.

Location: 2300 Chamber Center Dr, Lakeside Park, KY, 45263-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720314966
Provider Name
Bryan Fallis
Credential
Provider Entity Type
Organization
Address
2300 Chamber Center Dr, Lakeside Park, KY, 45263-0001
Phone Number
859-331-2440
Fax Number
859-331-2449
Provider Enumeration Date
10/22/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100096290 05 KY
80000151 05 KY
institution
Provider Business Practice Location Address Details
Address
2300 Chamber Center Dr
City
Lakeside Park
State
Kentucky
Zip
41017-1673
Phone Number
859-331-2440
Fax Number
859-331-2449
person
Provider Business Mailing Address Details
Address
2300 Chamber Center Dr
City
Lakeside Park
State
Kentucky
Zip
41017-1673
Phone Number
859-331-2440
Fax Number
859-331-2449
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
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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
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
00258 (Kentucky)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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