Kali Etheredge DPM

NPI 1063429702 - Podiatrist - 213E00000X

NPI Details
NPI 1063429702
Gender Female
Enumeration Date 08/02/2006
Last Updated 08/30/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
LAKE PARK FL, 33403-2503, US
Phone (561) 848-7722
Fax (561) 848-7812
Business Location
1616 39TH ST
WEST PALM BEACH FL, 33407-3634, US
Phone (561) 848-7722
Fax (561) 848-7812
Taxonomy Code 213E00000X
License State Georgia
License Number POD001044
Remove 1063429702 NPI Number

According to our database, Dr. Kali Etheredge DPM NPI is 1063429702, taxonomy code is 213E00000X and license number is POD001044, license state is located at Georgia. Kali Etheredge DPM physically located at 701 Park Ave, Lake Park FL, 33403-2503. NPI Number Kali Etheredge DPM has the Individual type.

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1063429702 NPI number is provided on an as is basis without warranty of any kind. 1063429702 is maintained by the National Plan & Provider Enumeration System. The contents of Kali Etheredge DPM are for informational purposes only.