# FOOT CLINIC, LLC

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

## Provider details

- **NPI number:** 1861906372
- **Authorized official:** DR. ALI DAVIS DPM (PHYSICIAN)
- **Authorized official phone:** (816) 547-6334

## Contact information

- **Practice address:** 4601 W 109TH ST STE 314, OVERLAND PARK, KS 66211-1315
- **Practice address phone:** (913) 364-1314
- **Practice address fax:** (913) 364-1160
- **Mailing address:** 713 SW ESTATES DR, LEES SUMMIT, MO 64082-4552
- **Mailing address phone:** (816) 547-6334

## Taxonomy

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

## Other

- **Enumeration date:** 11/20/2017
- **Last updated:** 01/10/2018