MEDICARE: THE FOOT FARM LLC

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	:	1669593539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE FOOT FARM LLC

Provider Business Mailing Address
First Line	:	4167 N MULBERRY DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-1638
Country	:	US
Telephone Number	:	816-382-3668
Fax Number	:	816-382-3670

Provider Business Practice Location Address
First Line	:	4167 N MULBERRY DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-1638
Country	:	US
Telephone Number	:	816-382-3668
Fax Number	:	816-382-3670

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHEN RICHARD
Credential	:
Telephone Number	:	785-523-4402

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	12/20/2008

Similar Medicare Providers

1326078254 — DR. DUSTIN BURLESON D.D.S.
Practice Location Address:

4151 N MULBERRY DR , SUITE 210
KANSAS CITY, MO
64116-1638

Practice Phone: 816-741-5311
Practice Fax: 866-253-1590

1629384151 — DEANNA BRAUER MA, PLPC
Practice Location Address:

4131 N MULBERRY DR , SUITE NUMBER 245
KANSAS CITY, MO
64116-1638

Practice Phone: 913-956-8779
Practice Fax:

1023480027 — MEDX MEDICAL EQUIPMENT AND MOBILITY
Practice Location Address:

1638 N CORRINGTON AVE
KANSAS CITY, MO
64120-1946

Practice Phone: 913-271-5989
Practice Fax:

1013471937 — SHANNON MOSS LPC
Practice Location Address:

2515 LEXINGTON AVE
KANSAS CITY, MO
64124-1638

Practice Phone: 316-208-7833
Practice Fax:

1689346918 — LAQUITTA ONYEJIAKA
Practice Location Address:

6608 N WESTERN AVE # 1638
OKLAHOMA CITY, OK
73116-7326

Practice Phone: 405-836-3044
Practice Fax:

1376491670 — NEXT LEVEL PATHWAYS LLC
Practice Location Address:

6608 N WESTERN AVE # 1638
OKLAHOMA CITY, OK
73116-7326

Practice Phone: 405-836-3044
Practice Fax:

Directions to “THE FOOT FARM LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.