| Organization Name: | ADVANCED FOOT AND ANKLE CLINIC PLLC |
| NPI Number: | 1194959676 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM R. ADAMS (PHYSICIAN OWNER) |
| Mailing Address: | 1029 Medical Center Cir Suite 308 Mayfield |
| State: | KY US |
| Postal Code: | 420661189 |
| Phone Number: | 2702514060 |
| Fax Number: | 2702514064 |
| NPI Enumeration Date: | 05/12/2009 |
| NPI Last Update Date: | 10/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 00328 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |