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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 Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DDK LC

NPI # 1871679357
LBN Legal business name DDK LC
Authorized official DANIEL KIDDY - (OWNER MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/27/2006
Last updated 12/30/2015 - About 10 years ago
Identifiers
MO Medicaid 505041400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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