Organization
KHUMALO FOOT AND ANKLE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KAY PAGE (CREDENTIALING MANAGER)
(731) 693-3465
Entity
Organization
Contact information
Practice address
1109 E REELFOOT AVE STE K, UNION CITY, TN 38261-5867
(731) 599-9909
(731) 599-9970
Mailing address
1109 E REELFOOT AVE STE K, UNION CITY, TN 38261-5867
(731) 599-9909
(731) 599-9970
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3352636
—
TN
05
—
7100242870
—
KY
05
—
7100815670
—
KY
05
—
Q051676
—
TN
Enumeration date
08/25/2019
Last updated
03/30/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us