Ddk, Lc

NPI #1144482688 in O Fallon, Missouri

Provider Information

NPI Number: 1144482688
Entity Type: Organization
Organization Name: Ddk, Lc
Primary Specialty: Podiatrist
Enumeration Date: Jun 26, 2008
Last Updated: Dec 30, 2015

Practice Location

Address: 300 WINDING WOODS DR
Address 2: SUITE 214
City: O Fallon
State: Missouri
ZIP Code: 63366-4771
Phone: (636) 281-8393

Authorized Official

Name: DANIEL D KIDDY, DPM
Title: OWNER
Phone: (636) 281-8393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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