# WEST SYCAMORE PODIATRY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADVANCED FOOT & ANKLE CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720173149
- **Authorized official:** MRS. STEPHANIE LYNN LEWIS (OFFICE MANAGER)
- **Authorized official phone:** (765) 453-5892

## Contact information

- **Practice address:** 3611 S REED RD, SUITE 104, KOKOMO, IN 46902-3828
- **Practice address phone:** (765) 453-5892
- **Practice address fax:** (765) 453-8262
- **Mailing address:** 3611 S REED RD, SUITE 104, KOKOMO, IN 46902-3828
- **Mailing address phone:** (765) 453-5892
- **Mailing address fax:** (765) 453-8262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 12/03/2007