# FIVE INDIANA FOOT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evansville Foot & Ankle Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053424572
- **Authorized official:** DR. THOMAS KENNETH HUPFER DPM (PHYSICIAN)
- **Authorized official phone:** (812) 475-8900

## Contact information

- **Practice address:** 3700 BELLEMEADE AVE STE 117, SUITE 100, EVANSVILLE, IN 47714-0106
- **Practice address phone:** (812) 475-8900
- **Practice address fax:** (812) 475-0024
- **Mailing address:** PO BOX 15454, EVANSVILLE, IN 47716-0454
- **Mailing address phone:** (812) 475-8900
- **Mailing address fax:** (812) 475-0024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0131X | Foot Surgery Podiatrist | 07000766A | IN | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 04/14/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100121220 | — | IN |
