| NPI | 1447389051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT N KISH Owner 803-466-0504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: SC 144) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-10-26 |