IndividualActive
Mark Risen, DPM
NPI 1174571004 · Primary Podiatric Medicine Podiatrist · Campbellsville, KY
Provider details
- NPI number
- 1174571004
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 00216 (KY)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
1003 Old Greensburg Rd
Campbellsville, KY 42718-2571
Phone: (270) 433-5806
Fax: (270) 433-2443
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 645996
Cincinnati, OH 45264-5996
Additional practice locations (4)
- 138 Campbellsville BypCampbellsville, KY 42718-8843Phone: (270) 433-5806Fax: (270) 433-2443
- 810 Jamestown StColumbia, KY 42728-1010Phone: (270) 384-4764Fax: (270) 384-2828
- 1301 N Race StGlasgow, KY 42141-3483Phone: (270) 651-4444Fax: (270) 651-4892
- 310 N L Rogers Wells BlvdGlasgow, KY 42141-1300Phone: (270) 651-6791Fax: (270) 659-5850
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2025-07-10
- Certified
- 2025-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.