Healthcare Provider Details

I. General information

NPI: 1851003057
Provider Name (Legal Business Name): PEPPY MEDICAL OF KANSAS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2022
Last Update Date: 12/19/2022
Certification Date: 12/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 HUDSON STREET WEWORK C/O LINDSEY WALTER
NEW YORK NY
10013
US

IV. Provider business mailing address

205 HUDSON STREET WEWORK C/O LINDSEY WALTER
NEW YORK NY
10013
US

V. Phone/Fax

Practice location:
  • Phone: 314-239-4206
  • Fax:
Mailing address:
  • Phone: 314-239-4206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. APRIL NICOLE FOSTER
Title or Position: PRESIDENT
Credential: DO
Phone: 808-940-8565