Organization
CAPTAIN DOC LLC
Active
Other names
Family Foot Docs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KORI H TAYLOR DPM (OWNER)
(816) 452-1211
Entity
Organization
Contact information
Practice address
6717 N OAK TRFY, GLADSTONE, MO 64118-3346
(816) 452-1211
(816) 452-4211
Mailing address
6717 N OAK TRFY, GLADSTONE, MO 64118-3346
(816) 452-1211
(816) 452-4211
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000701
MO
Other
Enumeration date
06/03/2006
Last updated
08/15/2011
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