DDK LC NPI 1952563496

NPI Information

  • NPI: 1952563496
  • Provider Name: DDK, LC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 300 WINDING WOODS DR
    SUITE 214
    O FALLON, MO
    ZIP 63366
  • Phone: (636) 281-8393

Map and Directions

Get Directions

NPI Details

DDK, LC is a podiatrist in O Fallon, 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. DDK, LC NPI is 1952563496. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 WINDING WOODS DR
SUITE 214
O FALLON, MO
ZIP 63366-771
Phone: (636) 281-8393
Fax: (636) 281-8393

The provider's authorized official is Daniel D Kiddy .
The authorized official title is Owner and has the following contact phone number (636) 281-8393.

The enumeration date for this NPI number is 6/26/2008 and was last updated on 6/23/2015.

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
1213E00000XPodiatristYes

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
1114029MEDICARE PINKANSAS
2CG9605MEDICARE PIN

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI