Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE ROBERT WORTMAN, DPM
ActiveSHANE ROBERT WORTMAN, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1245417385 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · FORT CAMPBELL, KY
Registration Details
- NPI Number
- 1245417385
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2008 (18.519477714626 yrs)
- Last Updated
- Feb 4, 2019
- License
-
285 (NE)
Practice Information
- Address
-
650 JOEL DRFORT CAMPBELL, KY, 422235318Browse KY providers · Browse ZIP 42223
- Phone
- 2707988375
- Fax
- 2707988630
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in FORT CAMPBELL, KY
| Name | Credential | NPI |
|---|---|---|
| NAOMI PHAYNE | DPM | 1326038803 |
| SONYA KURICHH | DPM | 1184685505 |
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.