NPI | 1700540549 |
---|---|
Doing Business As | CERTIFIED FOOT & ANKLE SPECIALISTS |
Entity Type | Organization |
Authorized Contact | KYLE J KINMON President/ Owner 561-995-0229 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
Enumeration Date | 2021-10-27 |
Last Update Date | 2024-10-09 |