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Contact Information

ADVANCED FOOT AND ANKLE CLINIC PC
3730 PLAZA WAY STE 6500
KENNEWICK, WA99338-2718
 Phone: 509-585-3622
 Fax: 509-585-3624
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ADVANCED FOOT AND ANKLE CLINIC PC · (Female)

NPI # 1720137904
Status Active
Credentials
Entity Individual
Enumeration date 01/09/2007
Last updated 02/28/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # 097343
Hospital affiliation(s) Not Available
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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