| Organization Name: | PLATTEVILLE PODIATRY, LLC |
| NPI Number: | 1134271992 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT H KJAR (PHYSICIAN) |
| Mailing Address: | 915 E Mineral St Platteville |
| State: | WI US |
| Postal Code: | 538182920 |
| Phone Number: | 6083487688 |
| Fax Number: | 6083487687 |
| NPI Enumeration Date: | 01/18/2007 |
| NPI Last Update Date: | 11/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | WI 662 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |