Photos, Deoborah

Photos, Deoborah is an individual health care provider with primary practice located at 1101 Veterans Dr , Lexington KY 40502-2235. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Photos, Deoborah can be contacted via phone (859) 233-4511.

Contact Information

Primary practice address
1101 Veterans Dr Lexington KY 40502-2235
Phone: (859) 233-4511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 226 Kentucky
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 226 Kentucky

Profile Details

NPI number 1376630780
LBN Legal business name Photos, Deoborah
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376630780 NPPES
Kentucky MEDICAID 80002264

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