Individual
DR. KSENIJA TOPIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
HWY 160 & MP 394.3, KAYENTA, AZ 86033
(928) 697-4000
(928) 697-4145
Mailing address
PO BOX 368, KAYENTA, AZ 86033-0368
(928) 697-4000
(928) 697-4145
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016.005254
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283569
—
AZ
05
—
68130767
—
NM
05
—
78684520
—
CO
Enumeration date
11/19/2007
Last updated
01/08/2019
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