| Kc Podiatry Care, Pa | |
|
7301 Mission Rd, Suite 152, Prairie Village, KS 66208-3006 | |
| (913) 432-2000 | |
| (913) 432-2001 |
| Full Name | Kc Podiatry Care, Pa |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 7301 Mission Rd, Prairie Village, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073887014 | NPI | - | NPPES |
| 114130 | Other | KS | MEDICARE PROVIDER GROUP # FOR KS (OUTSIDE KANSAS CITY LIMITS) |
| 114130 | Other | KS | MEDICARE PIN FOR KS # |
| KA2540 | Other | KS | PTAN (FOR JOHNSON COUNTY AREA) |
| 26580022 | Other | KS | BCBS |
| KA2541 | Other | KS | PTAN (FOR OUTSIDE OF KANSAS CITY/JOHNSON CO AREAS) |
| S340000 | Other | KS | MEDICARE PROVIDER GROUP # |
| P00183110 | Other | KS | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 12-00309 (Kansas) | Primary |
| Provider Name | Raphael T Nguyen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386796845 PECOS PAC ID: 9931152170 Enrollment ID: I20050303000395 |
| Mailing Address | Practice Location Address |
|---|---|
| Kc Podiatry Care, Pa 7301 Mission Rd, Suite 152, Prairie Village, KS 66208-3006 Ph: (913) 432-2000 | Kc Podiatry Care, Pa 7301 Mission Rd, Suite 152, Prairie Village, KS 66208-3006 Ph: (913) 432-2000 |
Dr. Raphael Tuan Nguyen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7301 Mission Rd, Ste 152, Prairie Village, KS 66208 Phone: 913-432-2000 Fax: 913-432-2001 | |
Kc Podiatry Care Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7301 Mission Rd, Ste 152, Prairie Village, KS 66208 Phone: 913-432-2000 |