Organization
JACOB B GOLDSTEIN DPM LLC
Active
Other names
Foot Pain Center of Kansas City
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB B GOLDSTEIN D.P.M. (OWNER)
(913) 856-8150
Entity
Organization
Contact information
Practice address
230-C EAST MAIN ST., GARDNER, KS 66030-1643
(913) 856-8150
(913) 856-8390
Mailing address
230-C EAST MAIN STREET, GARDNER, KS 66030-1643
(913) 856-8150
(913) 856-8390
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1200358KS
KS
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
12-00358KS
KS
Other
Enumeration date
05/17/2011
Last updated
09/13/2012
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