# COHO FOOT & ANKLE, PS

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

## Provider details

- **NPI number:** 1992240865
- **Authorized official:** DR. DEKKER NOLAN MCKEEVER DPM (PRESIDENT)
- **Authorized official phone:** (360) 582-2651

## Contact information

- **Practice address:** 103 W CEDAR ST, SEQUIM, WA 98382
- **Practice address phone:** (888) 406-2646
- **Practice address fax:** (952) 442-3620
- **Mailing address:** 400 10TH ST E, WACONIA, MN 55387-4552
- **Mailing address phone:** (952) 442-9770
- **Mailing address fax:** (952) 442-3620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 261QP1100X | Podiatric Clinic/Center | 60673015 | WA | — |

## Other

- **Enumeration date:** 12/30/2016
- **Last updated:** 10/03/2018
