Kc Podiatry Care, Pa | |
7301 Mission Rd, Suite 152, Prairie Village, KS 66208-3006 | |
(913) 432-2000 | |
(913) 432-2001 |
Full Name | Kc Podiatry Care, Pa |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 7301 Mission Rd, Prairie Village, Kansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073887014 | NPI | - | NPPES |
114130 | Other | KS | MEDICARE PROVIDER GROUP # FOR KS (OUTSIDE KANSAS CITY LIMITS) |
114130 | Other | KS | MEDICARE PIN FOR KS # |
KA2540 | Other | KS | PTAN (FOR JOHNSON COUNTY AREA) |
26580022 | Other | KS | BCBS |
KA2541 | Other | KS | PTAN (FOR OUTSIDE OF KANSAS CITY/JOHNSON CO AREAS) |
S340000 | Other | KS | MEDICARE PROVIDER GROUP # |
P00183110 | Other | KS | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 12-00309 (Kansas) | Primary |
Provider Name | Raphael T Nguyen |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1386796845 PECOS PAC ID: 9931152170 Enrollment ID: I20050303000395 |
Mailing Address | Practice Location Address |
---|---|
Kc Podiatry Care, Pa 7301 Mission Rd, Suite 152, Prairie Village, KS 66208-3006 Ph: (913) 432-2000 | Kc Podiatry Care, Pa 7301 Mission Rd, Suite 152, Prairie Village, KS 66208-3006 Ph: (913) 432-2000 |
Dr. Raphael Tuan Nguyen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7301 Mission Rd, Ste 152, Prairie Village, KS 66208 Phone: 913-432-2000 Fax: 913-432-2001 | |
Kc Podiatry Care Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7301 Mission Rd, Ste 152, Prairie Village, KS 66208 Phone: 913-432-2000 |