Individual
KENNETH PAUL SEITER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1500 DODSON AVE, STE 290, FORT SMITH, AR 72901-5182
(479) 573-7905
(479) 573-7906
Mailing address
PO BOX 402319, ATLANTA, GA 30384-2319
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
99026414
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
240
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171066717
—
AR
05
—
200202360A
—
OK
Enumeration date
05/08/2007
Last updated
03/22/2011
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