Healthcare Provider Details

I. General information

NPI: 1184921280
Provider Name (Legal Business Name): FOOT CARE PLUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2011
Last Update Date: 03/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 SE INDEPENDENCE AVE
LEES SUMMIT MO
64063-2827
US

IV. Provider business mailing address

PO BOX 1139
LEES SUMMIT MO
64063-8139
US

V. Phone/Fax

Practice location:
  • Phone: 816-225-2557
  • Fax: 816-434-5748
Mailing address:
  • Phone: 816-225-2557
  • Fax: 816-434-5748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. DIANA N TON
Title or Position: OWNER/PODIATRIST
Credential: DPM
Phone: 816-286-0106