Mark Andrew Kachan in Green Bay - Podiatrist
Mark Andrew Kachan - NPI 1003080102
Mark Andrew Kachan is a Podiatrist in Green Bay, Wisconsin. Mark Andrew Kachan practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Mark Andrew Kachan is 1003080102. The last update date is 2013-06-07.
Mark Andrew Kachan's current location address is 2793 Lineville Rd, Green Bay, Wisconsin. You can contact this provider via phone number 9204964700. The mailing address for Mark Andrew Kachan is 2793 Lineville Rd, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Andrew Kachan |
|---|---|
| Address | 2793 Lineville Rd, Green Bay, Wisconsin |
| Phone Number | 9204964700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1003080102 |
|---|---|
| Provider Enumeration Date | 2008-04-18 |
| Last Updated Date | 2013-06-07 |
Provider Mailing Address Detail
| Address | 2793 Lineville Rd |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543137152 |
| Phone Number | 9204964700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | MK002134 |
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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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What is the unique 10-digit identification code assigned to Mark Andrew Kachan by the Centers for Medicare & Medicaid Services?
The Mark Andrew Kachan has been issued the NPI (National Provider Identifier) 1003080102, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark Andrew Kachan?
The Mark Andrew Kachan is physically situated at 2793 Lineville Rd, in the city of Green Bay, state of WI, with the postal code 543137152.
What is the Mark Andrew Kachan's area of specialization and corresponding taxonomy classification?
The Mark Andrew Kachan's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003080102 to Mark Andrew Kachan?
The Centers for Medicare & Medicaid Services originally issued the 1003080102 to Mark Andrew Kachan on 2008-04-18.
As of what date were the details pertaining to Mark Andrew Kachan last refreshed?
The information related to the Mark Andrew Kachan, including its address, specialty, and other relevant details, was last updated on 2013-06-07.