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Organization
ANKLE & FOOT SPECIALISTS PA
Active
Organization
ANKLE & FOOT SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINLEY WAYNE HOWARD D.P.M, C.R.N.A. (OWNER)
(850) 497-8876
Entity
Organization
Contact information
Practice address
12385 SORRENTO RD, SUITE D-4, PENSACOLA, FL 32507-8664
(850) 497-8876
(850) 497-1721
Mailing address
12385 SORRENTO RD, SUITE D-4, PENSACOLA, FL 32507-8664
(850) 497-8876
(850) 497-1721
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2112
FL
363L00000X
Nurse Practitioner
ARNP2539562
FL
367500000X
Certified Registered Nurse Anesthetist
ARNP2539562
FL
Other
Enumeration date
09/16/2008
Last updated
09/15/2011
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