K2 FOOT SERVICES LLC NPI 1497361539

NPI Information

NPI: 1497361539
Provider Name: K2 FOOT SERVICES LLC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
1309 COFFEEN AVE STE 1200
SHERIDAN, WY
ZIP 82801
Phone: (801) 441-2719
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K2 FOOT SERVICES LLC is a podiatric clinic center in Sheridan, WY. K2 FOOT SERVICES LLC NPI is 1497361539. The provider is registered as an organization entity type.

The provider's business location address is:

1309 COFFEEN AVE STE 1200
SHERIDAN, WY
ZIP 82801-777
Phone: (801) 441-2719
Fax: (801) 327-2304

The provider's authorized official is Stanton Miller Smith .
The authorized official title is Physician/owner and has the following contact phone number (801) 441-2719.

The enumeration date for this NPI number is 9/23/2020 and was last updated on 11/20/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP1100X	Clinic/Center	Podiatric			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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