Organization
FAMILY FOOT CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE L MACKEY DPM (AUTHORIZED OFFICIAL)
(330) 673-3505
Entity
Organization
Contact information
Practice address
1627 E MAIN ST, KENT, OH 44240-2875
(330) 673-3505
(330) 673-4888
Mailing address
1627 E MAIN ST, KENT, OH 44240-2875
(330) 673-3505
(330) 673-4888
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003579
OH
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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