MEDICARE: FOOT SPECIALISTS OF KANSAS CITY, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	213E00000X	Podiatrist
2	213ES0103X	Foot & Ankle Surgery Podiatrist
3	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1245177203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOT SPECIALISTS OF KANSAS CITY, PA

Provider Business Mailing Address
First Line	:	PO BOX 825159
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19182-5159
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9501 N OAK TRFY STE 200
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-2201
Country	:	US
Telephone Number	:	816-943-1111
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	DANIEL JOSEPH THOUVENOT
Credential	:
Telephone Number	:	618-236-7444

Provider Enumeration Date	:	04/29/2026
Last Update Date	:	04/29/2026

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