| NPI | 1720139710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KILE WOODROW KINNEY Corporation President 706-724-0586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: GA GRP2839) |
| Additional Taxonomies | 213ER0200X Podiatrist, Radiology (Licence: GA GRP2839) |
| 213ES0000X Podiatrist, Sports Medicine (Licence: GA GRP2839) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA GRP2839) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 1196250004) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2013-05-07 |