JLA SENIOR FOOTCARE MO LLC is a foot surgery podiatrist in Kansas City, MO. JLA SENIOR FOOTCARE MO LLC NPI is 1649587122. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
640 W 67TH TER
KANSAS CITY, MO
ZIP 64113-945
Phone: (816) 516-7453
The provider's authorized official is Anthony Innocenzi .
The authorized official title is Owner and has the following contact phone number (330) 702-0978.
The enumeration date for this NPI number is 9/7/2010 and was last updated on 9/7/2010.