Bryan Fallis
NPI #1720314966 in Lakeside Park, Kentucky
Provider Information
- NPI Number
- 1720314966
- Entity Type
- Organization
- Organization Name
- Bryan Fallis
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 22, 2009
- Last Updated
- Jan 29, 2020
Practice Location
- Address
- 2300 CHAMBER CENTER DR
- Address 2
- SUITE 100
- City
- Lakeside Park
- State
- Kentucky
- ZIP Code
- 41017-1673
- Phone
- (859) 331-2440
Authorized Official
- Name
- BRYAN V FALLIS, DPM
- Title
- OWNER
- Phone
- (859) 331-2440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
| Durable Medical Equipment & Medical Supplies |
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