| NPI | 1922043140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI KRAFT Office Manager 251-943-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: AL 244) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2013-08-23 |