National Provider Identifier Database

DDK LC
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

DDK LC
300 WINDING WOODS DRIVE
SUITE 214
O'FALLON, MO63366
Phone: 636-281-8393
Fax: 636-281-1808
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for DDK LC

NPI Number 1871679357
Legal business name
LBN
DDK LC
Authorized official DANIEL KIDDY - (OWNER MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/27/2006
Last updated 12/30/2015 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 505041400

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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