Golden Age Footcare INC
NPI #1700085453 in Kansas City, Missouri
Provider Information
- NPI Number
- 1700085453
- Entity Type
- Organization
- Organization Name
- Golden Age Footcare INC
- Primary Specialty
- Podiatrist - Primary Podiatric Medicine
- Enumeration Date
- Jul 13, 2007
- Last Updated
- Aug 15, 2011
Practice Location
- Address
- 7818 N HULL AVE
- City
- Kansas City
- State
- Missouri
- ZIP Code
- 64151-1532
- Phone
- (816) 304-8452
Authorized Official
- Name
- DR. BOREMY LY, DPM
- Title
- PRESIDENT
- Phone
- (816) 304-8452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine |
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