Organization
FAMILY FOOT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY DAVID KETNER DPM (PRESIDENT)
(815) 224-3933
Entity
Organization
Contact information
Practice address
2011 ROCK ST, SUITE D1, PERU, IL 61354
(815) 224-3933
(815) 224-2768
Mailing address
2011 ROCK ST, SUITE D1, PERU, IL 61354
(815) 224-3933
(815) 224-2768
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004241
IL
Other
Enumeration date
09/22/2006
Last updated
03/14/2008
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