| Organization Name: | AFFILIATED HEARTLAND PODIATRY |
| NPI Number: | 1023141496 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID JAMES BURNETT (OWNER,PODIATRIST) |
| Mailing Address: | 2102 Baptiste Dr Suite D Paola |
| State: | KS US |
| Postal Code: | 660711314 |
| Phone Number: | 9135570700 |
| Fax Number: | 8662545538 |
| NPI Enumeration Date: | 03/14/2007 |
| NPI Last Update Date: | 08/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 12-00312 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |