Kenzie Waldkoetter, DPM

NPI #1932953833 in Danville, Illinois

Provider Information

NPI Number: 1932953833
Entity Type: Individual
Name: Kenzie Waldkoetter, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DPM
Enumeration Date: Apr 16, 2024
Last Updated: Apr 16, 2024

Practice Location

Address: 1900 E MAIN ST
City: Danville
State: Illinois
ZIP Code: 61832-5100
Phone: (217) 554-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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