Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Podiatrist |
213E00000X | 48 | Podiatry |
| NPI Number | 1477684413 |
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| LBN Legal business name | HOLLY FOOT & ANKLE SPECIALISTS PLC | ||||||||||||
| Authorized official | HAROLD KOEHLER - (DOCTOR/OWNER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | Yes | ||||||||||||
| Enumeration date | 03/09/2007 | ||||||||||||
| Last updated | 03/24/2025 - More than a year ago | ||||||||||||
| Identifiers |
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