Individual provider · Type 1 NPI

Michael Kooyman, DPM

Foot & Ankle Surgery Podiatrist · Henderson, NV

NPI number 1487645370 Active

Practice location

2649 W Horizon Ridge Pkwy, 100
Henderson, NV 89052-4801

Fax (702) 565-9249

Mailing address

PO Box 15645
Las Vegas, NV 89114-5645

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X0503 (NV)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1487645370

Michael Kooyman, DPM's National Provider Identifier is 1487645370, issued on Oct 31, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Henderson, NV. The record was last updated on Feb 14, 2014.