NPI 1154860823 · live from the CMS NPI Registry
Final Kick Ankle And Foot Clinic LLC
Podiatrist, Foot & Ankle Surgery in Salt Lake City, UT. National Provider Identifier 1154860823, active.
NPI record
| NPI | 1154860823 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 348 E 4500 S, Suite 370, Salt Lake City, UT 84107 |
| Practice phone | 804-687-5191 |
| Enumerated | February 14, 2017 |
| Last updated | February 14, 2017 |
| Authorized official | Selina Sekulic, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 1891082830 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.