# FAMILY FOOT CARE SPECIALISTS PODIATRY CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699791160
- **Authorized official:** MR. NEIL ROBERT KELLEY D.P.M. (OWNER/CEO)
- **Authorized official phone:** (707) 725-5223

## Contact information

- **Practice address:** 1730 MAIN ST, FORTUNA, CA 95540-2467
- **Practice address phone:** (707) 725-5223
- **Practice address fax:** (707) 725-2756
- **Mailing address:** 1730 MAIN ST, FORTUNA, CA 95540-2467
- **Mailing address phone:** (707) 725-5223
- **Mailing address fax:** (707) 725-2756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | E2321 | CA | — |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 08/29/2014