Organization
HENDERSON FOOT AND ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH E FATKIN DPM (OWNER)
(702) 435-7987
Entity
Organization
Contact information
Practice address
1485 W WARM SPRINGS RD STE 102, HENDERSON, NV 89014-7632
(702) 435-7987
(702) 435-7616
Mailing address
1485 W WARM SPRINGS RD, SUITE 102, HENDERSON, NV 89014-7632
(702) 435-7987
(702) 435-7616
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
1008
NV
332B00000X
Durable Medical Equipment & Medical Supplies
1008
NV
Other
Enumeration date
09/08/2010
Last updated
07/21/2022
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