Dr. Larry K Ketcherside is a Louisville, Kentucky based male podiatrist with 15 years of experience in Podiatry. He completed his graduation in 2009. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Larry K Ketcherside for Podiatry is 00358 in Kentucky. Dr. Larry K Ketcherside is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Larry K Ketcherside speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3678741717
Enrollment ID:
I20110715000645
NPI Number:
1083907471
NPI Enumeration Date:
18 May, 2011
NPI Last Update On:
31 Jan, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Larry K Ketcherside are as mentioned below.
License Number
Specialization
State
Status
00358
Podiatry
Kentucky
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Larry K Ketcherside is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Bluegrass Podiatric Management Llc (0143545863)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Larry K Ketcherside such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7100165100
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
9110 Leesgate Rd, Louisville, Kentucky
Zip:
40222-5053
Phone Number:
502-426-7222
Fax Number:
502-425-8226
Patients can reach Dr. Larry K Ketcherside at 9110 Leesgate Rd, Louisville, Kentucky or can call to book an appointment on 502-426-7222. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.