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Individual

DR. KELLEY D. FOLTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1012 N MAIN ST, SIKESTON, MO 63801-5044
(573) 471-0330
(573) 471-0461
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2004004897
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
191541
BCBS MO NUMBER
MO
05
308362201
MO
01
430741410
FIRST HEALTH NUMBER
MO
01
43074141063801A011
TRICARE NUMBER
MO
01
675096
HEALTHLINK NUMBER
MO
Enumeration date
01/05/2006
Last updated
03/01/2021
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