Healthcare Provider Details

I. General information

NPI: 1801537931
Provider Name (Legal Business Name): ROMEO VENCES-LEONARD DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S SANTA FE AVE STE 200
SALINA KS
67401-4189
US

IV. Provider business mailing address

501 S SANTA FE AVE STE 200
SALINA KS
67401-4189
US

V. Phone/Fax

Practice location:
  • Phone: 785-452-6211
  • Fax: 785-452-6216
Mailing address:
  • Phone: 785-452-6211
  • Fax: 785-452-6216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number12-00512
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: