NPI | 1437745015 |
---|---|
Doing Business As | CERTIFIED FOOT AND ANKLE SPECIALISTS |
Entity Type | Organization |
Authorized Contact | KYLE J KINMON Owner 561-995-0229 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
Enumeration Date | 2020-12-17 |
Last Update Date | 2024-10-09 |