Healthcare Provider Details

I. General information

NPI: 1477594265
Provider Name (Legal Business Name): CORINTH PODIATRY GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 03/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11111 NALL AVE SUITE 208
LEAWOOD KS
66211-1620
US

IV. Provider business mailing address

3704 W 121ST ST
LEAWOOD KS
66209-1070
US

V. Phone/Fax

Practice location:
  • Phone: 913-491-1244
  • Fax: 913-491-2801
Mailing address:
  • Phone: 913-491-3311
  • Fax: 913-491-2801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM CHRISTOPHER COX
Title or Position: OWNER
Credential: D.P.M.
Phone: 913-491-3311