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Contact Information

CORAL GERDTS, DPM
300 UTAH ST
HIAWATHA, KS66434-2314
 Phone: 785-742-2131
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CORAL GERDTS · (Female)

NPI Number 1285659714
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/13/2006
Last updated 12/07/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 12-0311
  • KS Medicaid 100369010A
  • KS Other 114052 BLUE CROSS OF KS
  • NE Other 25014 BLUE CROSS
Hospital affiliation(s)
  • MITCHELL COUNTY REGIONAL HEALTH - (Critical Access)
    616 NORTH EIGHTH STREET
    OSAGE, IA 50461
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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