Organization
SWFAC PLC
Active
Other names
Southwest Foot and Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY P KILEY DPM (OWNER)
(712) 623-5178
Entity
Organization
Contact information
Practice address
1301 GRUNDMAN BLVD., NEBRASKA CITY, NE 68410
(800) 334-5516
(712) 623-2703
Mailing address
502 E REED ST., RED OAK, IA 51566
(712) 623-5178
(712) 623-3703
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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