Organization
PROFESSIONAL PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN ELIZABETH KUTVOELGYI DPM (PODIATRIST/OWNER)
(610) 357-6303
Entity
Organization
Contact information
Practice address
500 ORCHARD AVE, SUITE B, KENNETT SQUARE, PA 19348-1812
(610) 388-8637
(484) 730-0060
Mailing address
43 STONERIDGE RD, THORNTON, PA 19373-1042
(610) 357-6303
(484) 730-0060
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC005540
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
521466
PTAN
PA
Enumeration date
07/16/2016
Last updated
02/06/2017
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