NPI | 1447295811 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD D KRAUSE Owner 620-793-6592 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: KS 12-00159) |
Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: KS 12-00159) |
Enumeration Date | 2006-06-18 |
Last Update Date | 2009-01-26 |