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Organization

PREFERRED PODIATRY GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVIN KESTNER (PRESIDENT)
(847) 504-5002
Entity
Organization

Contact information

Practice address
171 SW 6TH AVE, OAK HARBOR, WA 98277-2377
(847) 504-5000
Mailing address
PO BOX 772294, DETROIT, MI 48277-0917
(847) 504-5000
(844) 443-0082

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
060005901
IL
05
100253080E
IN
05
122195500
FL
05
1720037138
IA
05
1720037138
WA
05
200623610A
OK
05
281333901
TX
05
43265500
WI
05
504482407
MO
05
7100257260
KY
05
73780081
CO
01
C12116
RAILROAD MEDICARE
IL
01
CB3726
RAILROAD MEDICARE
WI
01
CH4840
RAILROAD MEDICARE
IN
01
DR6817
RAILROAD MEDICARE
TX
01
DS6430
RAILROAD MEDICARE
MO
01
DU2423
RAILROAD MEDICARE
KY
01
DW2427
RAILROAD MEDICARE
CO
01
DW2909
RAILROAD MEDICARE
OK
01
DX1124
RAILROAD MEDICARE
IA
05
Q030004
TN
Enumeration date
05/10/2006
Last updated
01/06/2026
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