Organization
COLUMBIA PODIATRY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAY A LINDSEY (OFFICE MANAGER)
(573) 443-2015
Entity
Organization
Contact information
Practice address
305 N KEENE ST, SUITE 209, COLUMBIA, MO 65201-6623
(573) 443-2015
(573) 449-5886
Mailing address
305 N KEENE ST, SUITE 209, COLUMBIA, MO 65201-6623
(573) 443-2015
(573) 449-5886
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MO000539
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500767504
—
MO
Enumeration date
11/09/2006
Last updated
10/16/2012
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