Organization
MICHAEL N. FINE, DPM, PC
Active
Other names
Fine Foot Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL N FINE DPM (PODIATRIST)
(816) 455-8900
Entity
Organization
Contact information
Practice address
2700 CLAY EDWARDS DR STE 360, NORTH KANSAS CITY, MO 64116-3270
(816) 455-8900
(816) 455-8901
Mailing address
2700 CLAY EDWARDS DR STE 360, KANSAS CITY, MO 64116-3270
(816) 455-8900
(816) 455-8901
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
679
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033147277
TYPE 1 NPI
MO
01
—
22440035
BCBS ID
MO
05
—
308093905
—
MO
01
—
CJ8263
RAILROAD MEDICARE
MO
Enumeration date
05/17/2007
Last updated
08/10/2022
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