PROFESSIONAL PODIATRY LLC NPI 1821441635

NPI Information

NPI: 1821441635
Provider Name: PROFESSIONAL PODIATRY LLC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
500 ORCHARD AVE
SUITE B
KENNETT SQUARE, PA
ZIP 19348
Phone: (610) 388-8637
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PROFESSIONAL PODIATRY LLC is a foot surgery podiatrist in Kennett Square, PA. PROFESSIONAL PODIATRY LLC NPI is 1821441635. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 ORCHARD AVE
SUITE B
KENNETT SQUARE, PA
ZIP 19348-812
Phone: (610) 388-8637
Fax: (484) 730-0060

The provider's authorized official is Erin Elizabeth Kutvoelgyi .
The authorized official title is Podiatrist/owner and has the following contact phone number (610) 357-6303.

The enumeration date for this NPI number is 7/16/2016 and was last updated on 2/6/2017.

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	213ES0131X	Podiatrist	Foot Surgery	SC005540	PENNSYLVANIA	Yes

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
1	U91222	MEDICARE UPIN	PENNSYLVANIA
2	7565330001	MEDICARE NSC	PENNSYLVANIA
3	060032ZV3B	MEDICARE PIN	PENNSYLVANIA
4	521466	OTHER	PENNSYLVANIA	PTAN

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: 4/28/2024

NPI Synchronization or Removal

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