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General NPI Number Information
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NPI Number | 1174494595
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Entity Type | Organization
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Legal Business Name | FOOT SPECIALISTS OF KANSAS CITY, PA
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 2406 S R D MIZE RD
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City | INDEPENDENCE
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State | MO
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Zip | 64057-1808
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Country | US
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Telephone | 816-478-3338
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 825159
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City | PHILADELPHIA
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State | PA
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Zip | 19182-5159
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Country | US
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Telephone | 866-626-1540
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Fax |
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Authorized Official
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Title or Position | DPM
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Name | KRISTA NICOLE NELSON
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Credential | DPM
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Telephone | 314-739-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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