NPI 1821441635

Professional Podiatry LLC

Organisation Foot Surgery Podiatrist Kennett Square, PA

Practice location

Address: 500 Orchard Ave Suite B, Kennett Square, PA 19348-1812
Phone: (610) 388-8637
Fax: (484) 730-0060
Mailing address: 43 Stoneridge Rd, Thornton, PA 19373-1042

Authorised official

Name: Erin Elizabeth Kutvoelgyi
Title: Podiatrist/Owner
Phone: (610) 357-6303

Registered specialties

Foot Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence SC005540 (PA)

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Registry record

NPI: 1821441635
Entity type: Organization
NPI issued: 16 Jul 2016
Record last updated: 6 Feb 2017

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.