Provider Demographics
NPI:1548926405
Name:KANSAS CITY FOOT & ANKLE CLINICS
Entity type:Organization
Organization Name:KANSAS CITY FOOT & ANKLE CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:HANON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:816-944-9780
Mailing Address - Street 1:12528 WHISPERING HILLS LN.
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146
Mailing Address - Country:US
Mailing Address - Phone:816-944-9780
Mailing Address - Fax:
Practice Address - Street 1:12528 WHISPERING HILLS LN.
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146
Practice Address - Country:US
Practice Address - Phone:816-944-9780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty