KC PODIATRY CARE PA NPI 1073887014

NPI Information

KC PODIATRY CARE, PA is a podiatrist in Prairie Village, KS. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. KC PODIATRY CARE, PA NPI is 1073887014. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7301 MISSION RD
SUITE 152
PRAIRIE VILLAGE, KS
ZIP 66208-006
Phone: (913) 432-2000
Fax: (913) 432-2001

The provider's authorized official is Raphael Nguyen Nguyen .
The authorized official title is President and has the following contact phone number (913) 432-2000.

The enumeration date for this NPI number is 3/7/2012 and was last updated on 5/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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