Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK A RISEN, DPM
ActiveMR. MARK A RISEN, DPM is a Radiology Podiatrist healthcare provider located in CAMPBELLSVILLE, Kentucky. NPI 1174571004 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · CAMPBELLSVILLE, KY
Registration Details
- NPI Number
- 1174571004
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2006 (20.306865256579 yrs)
- Last Updated
- Jul 10, 2025
- Licenses
-
00216 (KY)00216 (KY)
Practice Information
- Address
-
1003 OLD GREENSBURG RDCAMPBELLSVILLE, KY, 427182571Browse KY providers · Browse ZIP 42718
- Phone
- 2704335806
- Fax
- 2704332443
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
- Additional Specialty
- Radiology Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.