Organization
COMFORT PLUS SHOES CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH A GOLD PEDORTHIST (PRESIDENT)
(913) 451-4494
Entity
Organization
Contact information
Practice address
11715 ROE AVENUE, LEAWOOD, KS 66211
(913) 451-4494
(913) 451-4482
Mailing address
11715 ROE AVENUE, LEAWOOD, KS 66211
(913) 451-4494
(913) 451-4482
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13732014
BLUE CROSS BLUE SHIELD
—
01
—
143769600
US DEPT OF LABOR WORK COM
—
Enumeration date
08/15/2006
Last updated
11/03/2008
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