Organization
THE FOOT FARM LLC
Active
Other names
FOOT SOLUTIONS OF PRAIRIE VILLAGE
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN RICHARD (OWNER)
(785) 523-4402
Entity
Organization
Contact information
Practice address
8231 CORINTH MALL, PRAIRIE VILLAGE, KS 66208-5305
(913) 341-3668
(913) 341-1315
Mailing address
8231 CORINTH MALL, PRAIRIE VILLAGE, KS 66208-5305
(913) 341-3668
(913) 341-1315
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
12/20/2008
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