Provider Demographics
NPI:1548423999
Name:PODIATRIC SOLUTIONS PLLC
Entity type:Organization
Organization Name:PODIATRIC SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPM/MBR
Authorized Official - Prefix:
Authorized Official - First Name:JANINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:VALENTINO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:502-303-2339
Mailing Address - Street 1:6001 CLAYMONT VILLAGE DR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-6553
Mailing Address - Country:US
Mailing Address - Phone:502-303-2339
Mailing Address - Fax:
Practice Address - Street 1:6001 CLAYMONT VILLAGE DR
Practice Address - Street 2:SUITE 6
Practice Address - City:CRESTWOOD
Practice Address - State:KY
Practice Address - Zip Code:40014-6553
Practice Address - Country:US
Practice Address - Phone:502-303-2339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY00312213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty