NPI 1124688114
Foot Factor Podiatry LLC
Practice location
- Address
- 6125 Green Bay Rd STE 600, Kenosha, WI 53142-2928
- Phone
- (877) 287-1962
- Fax
- (877) 287-1962
- Mailing address
- 5605 Cambridge Ln Unit 2, Mount Pleasant, WI 53406-2889
Authorised official
- Name
- Donna J Hayes
- Title
- Owner/Ceo
- Phone
- (877) 297-1962
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1124688114
- Entity type
- Organization
- NPI issued
- 20 Jun 2019
- Record last updated
- 20 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.