Foot And Ankle Center Of Southern Indiana, Llc

NPI 1801997358 - Podiatrist - 213E00000X

NPI Details
NPI 1801997358
Enumeration Date 09/26/2006
Last Updated 08/03/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH WESLEY KENNETH
Position OWNER/MANAGER
Phone (812) 355-6933
Fax (812) 355-6958
Practice Location
419 W 1ST ST
BLOOMINGTON IN, 47403-2403, US
Phone (812) 355-6933
Fax (812) 355-6958
Business Location
2567 E NOTTINGHAM CT
BLOOMINGTON IN, 47401-8356, US
Phone (812) 355-6933
Fax (812) 355-6958
Toxanomy
Taxonomy Code 213E00000X
License State Indiana
License Number 07000932A
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According to our database, Foot And Ankle Center Of Southern Indiana, Llc NPI is 1801997358, taxonomy code is 213E00000X and license number is 07000932A, license state is located at Indiana. Foot And Ankle Center Of Southern Indiana, Llc physically located at 419 W 1st St, Bloomington IN, 47403-2403. NPI Number 1033115704 has the healthcare provider type.

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1801997358 NPI number is provided on an as is basis without warranty of any kind. 1801997358 is maintained by the National Plan & Provider Enumeration System. The contents of Foot And Ankle Center Of Southern Indiana, Llc are for informational purposes only.