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Organization
PREFERRED PODIATRY GROUP PC
Active
Organization
PREFERRED PODIATRY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVIN KESTNER (PRESIDENT)
(847) 504-5002
Entity
Organization
Contact information
Practice address
171 SW 6TH AVE, OAK HARBOR, WA 98277-2377
(847) 504-5000
Mailing address
PO BOX 772294, DETROIT, MI 48277-0917
(847) 504-5000
(844) 443-0082
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060005901
—
IL
05
—
100253080E
—
IN
05
—
122195500
—
FL
05
—
1720037138
—
IA
05
—
1720037138
—
WA
05
—
200623610A
—
OK
05
—
281333901
—
TX
05
—
43265500
—
WI
05
—
504482407
—
MO
05
—
7100257260
—
KY
05
—
73780081
—
CO
01
—
C12116
RAILROAD MEDICARE
IL
01
—
CB3726
RAILROAD MEDICARE
WI
01
—
CH4840
RAILROAD MEDICARE
IN
01
—
DR6817
RAILROAD MEDICARE
TX
01
—
DS6430
RAILROAD MEDICARE
MO
01
—
DU2423
RAILROAD MEDICARE
KY
01
—
DW2427
RAILROAD MEDICARE
CO
01
—
DW2909
RAILROAD MEDICARE
OK
01
—
DX1124
RAILROAD MEDICARE
IA
05
—
Q030004
—
TN
Enumeration date
05/10/2006
Last updated
01/06/2026
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