Organization Name: | JANET R N KAIL DPM |
NPI Number: | 1275840381 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANET RN KAIL (OWNER) |
Mailing Address: | 402 W Main St Fairborn |
State: | OH US |
Postal Code: | 453244817 |
Phone Number: | 9378782800 |
Fax Number: | 9378787261 |
NPI Enumeration Date: | 09/10/2010 |
NPI Last Update Date: | 03/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 360002830 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |