MEDICARE: FLINT HILLS PODIATRY PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1508998915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLINT HILLS PODIATRY PA

Provider Business Mailing Address
First Line	:	3252 KIMBALL AVE
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66503-2157
Country	:	US
Telephone Number	:	785-539-9255
Fax Number	:	785-539-2494

Provider Business Practice Location Address
First Line	:	3252 KIMBALL AVE
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66503-2157
Country	:	US
Telephone Number	:	785-539-9255
Fax Number	:	785-539-2494

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. KRISTA R WARE
Credential	:
Telephone Number	:	785-539-9255

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	08/22/2020

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