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KENNETH INDAHL NPI 1821289828


NPI Information

NPI: 1821289828
Provider Name: KENNETH INDAHL

Doing Business As: ALLAIRE FOOT & ANKLE CENTER

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2399 HIGHWAY 34
SUITE A6
MANASQUAN, NJ
ZIP 08736
Phone: (732) 528-8223
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KENNETH INDAHL is a foot and ankle surgery podiatrist in Manasquan, NJ. KENNETH INDAHL NPI is 1821289828. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Allaire Foot & Ankle Center.

The provider's business location address is:

2399 HIGHWAY 34
SUITE A6
MANASQUAN, NJ
ZIP 08736-500
Phone: (732) 528-8223
Fax: (732) 528-7057

The provider's authorized official is Kenneth Indahl .
The authorized official title is Owner and has the following contact phone number (732) 528-8223.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 6/18/2008.


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
1213ES0103XPodiatristFoot & Ankle Surgery25MD00100900NEW JERSEYYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10584820001MEDICARE NSCNEW JERSEY
2022471MEDICARE PINNEW JERSEY

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: 5/5/2024

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