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FAMILY FOOT CARE CLINIC LLC NPI 1902959984


NPI Information

NPI: 1902959984
Provider Name: FAMILY FOOT CARE CLINIC, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
6724 TROOST AVE
SUITE 106
KANSAS CITY, MO
ZIP 64131
Phone: (816) 523-6050
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FAMILY FOOT CARE CLINIC, LLC is a podiatrist in Kansas City, MO. 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. FAMILY FOOT CARE CLINIC, LLC NPI is 1902959984. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6724 TROOST AVE
SUITE 106
KANSAS CITY, MO
ZIP 64131-500
Phone: (816) 523-6050
Fax: (816) 523-3741

The provider's authorized official is James E Teela .
The authorized official title is Physician and has the following contact phone number (816) 523-6050.

The enumeration date for this NPI number is 1/21/2007 and was last updated on 12/31/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist2006039218MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15929490001MEDICARE NSCMISSOURI
238089011OTHERBLUE CROSS BLUE SHIELD
3DF8774OTHERMISSOURIRAILROAD
4X010000MEDICARE PINMISSOURI

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

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