NPI | 1407514334 |
---|---|
Doing Business As | CERTIFIED FOOT & ANKLE SPECIALISTS |
Entity Type | Organization |
Authorized Contact | KYLE J KINMON President 561-995-0229 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Additional Taxonomies | 213E00000X Podiatrist |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
Enumeration Date | 2021-12-08 |
Last Update Date | 2024-10-09 |