Ddk, Lc is a Podiatrist in O Fallon, Missouri. Ddk, Lc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Ddk, Lc is 1871755314. The last update date is 2015-12-30.
Ddk, Lc's current location address is 300 Winding Woods Dr, O Fallon, Missouri. You can contact this provider via phone number 6362818393 and fax number 6362811808. The mailing address for Ddk, Lc is 300 Winding Woods Dr, O Fallon, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ddk, Lc |
|---|---|
| Address | 300 Winding Woods Dr, O Fallon, Missouri |
| Phone Number | 6362818393 |
| Fax Number | 6362811808 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kiddy D Daniel |
| Credentials | DPM |
| Telephone Number | 6362818393 |
NPI Number Detail
| NPI Number | 1871755314 |
|---|---|
| Provider Enumeration Date | 2008-06-26 |
| Last Updated Date | 2015-12-30 |
Provider Mailing Address Detail
| Address | 300 Winding Woods Dr |
|---|---|
| City | O Fallon |
| State | Missouri (MO) |
| Post Code | 633664771 |
| Phone Number | 6362818393 |
| Fax Number | 6362811808 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 505041400 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ddk, Lc by the Centers for Medicare & Medicaid Services (CMS)?
The Ddk, Lc has been assigned the NPI (National Provider Identifier) 1871755314. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Ddk, Lc's physical address?
The Ddk, Lc is physically located at 300 Winding Woods Dr, in the city of O Fallon, MO, with the postal code 633664771.
What is Ddk, Lc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ddk, Lc is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1871755314 to Ddk, Lc?
The Centers for Medicare & Medicaid Services assigned the 1871755314 to Ddk, Lc on 2008-06-26.
When was the information related to Ddk, Lc most recently updated or refreshed?
The details pertaining to the Ddk, Lc, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-12-30.