Organization
FAMILY FOOT CARE, PA
Active
Organization
FAMILY FOOT CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL B KLEIN DPM (CEO)
(479) 484-6717
Entity
Organization
Contact information
Practice address
9000 ROGERS AVE, SUITE B, FORT SMITH, AR 72903-5249
(479) 484-6717
(479) 484-9648
Mailing address
9000 ROGERS AVE, SUITE B, FORT SMITH, AR 72903-5249
(479) 484-6717
(479) 484-9648
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326233263
GROUP NPI
AR
05
—
139382717
—
AR
01
—
1598707754
PROVIDER NPI
—
01
—
5G734
GROUP PTAN
AR
01
—
5S854G734
GROUP MEMBER PTAN
AR
Enumeration date
09/13/2007
Last updated
02/14/2011
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