Organization
FOOT AND ANKLE SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH COOKUS DPM (BOARD MEMBER)
(804) 273-1717
Entity
Organization
Contact information
Practice address
7660 E PARHAM RD, MOB1, SUITE 104A, RICHMOND, VA 23294-4378
(804) 273-1717
(804) 273-1834
Mailing address
3805 CUTSHAW AVE, SUITE 102, RICHMOND, VA 23230-3943
(804) 359-7412
(804) 359-7418
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000739
VA
Other
Enumeration date
03/25/2008
Last updated
03/28/2008
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