DR. Kenneth G Indahl, DPM

NPI #1780652644 in Manasquan, New Jersey

Provider Information

NPI Number: 1780652644
Entity Type: Individual
Name: DR. Kenneth G Indahl, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Mar 8, 2006
Last Updated: Jan 30, 2012

Practice Location

Address: 2399 HIGHWAY 34
Address 2: SUITE A-6
City: Manasquan
State: New Jersey
ZIP Code: 08736-1500
Phone: (732) 528-8223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X

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