| Shane Robert Wortman, DPM | |
|
650 Joel Dr, Fort Campbell, KY 42223-5318 | |
| (270) 798-8375 | |
| (270) 798-8630 |
| Full Name | Shane Robert Wortman |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 650 Joel Dr, Fort Campbell, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245417385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 285 (Nebraska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Robert Wortman, DPM 650 Joel Drive, Podiatry/ortho Dept, Fort Campbell, KY 42223-5318 Ph: (270) 798-8325 | Shane Robert Wortman, DPM 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8375 |
Sonya Kurichh, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8375 |
Naomi Phayne, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 650 Joel Drive, Podiatry Clinic, Fort Campbell, KY 42223 Phone: 270-798-8638 |