| NPI | 1255961793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN M KENNEY President 925-685-3117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care |
| 213EP1101X Podiatrist Primary Podiatric Medicine | |
| 213ES0000X Podiatrist Sports Medicine | |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2021-06-11 |