Individual provider · Type 1 NPI
Kim Michael Reichert, DPM
Foot Surgery Podiatrist · Belleville, IL
NPI number
1710955752
Active
Practice location
2900 Frank Scott Pkwy W, Suite 900
Belleville, IL 62223-5000
Fax (618) 257-7049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016-003257 (IL) |
| Foot Surgery Podiatrist Primary | 213ES0131X | 016003257 (IL) |
Foot Surgery Podiatrist: Definition to come...
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About NPI 1710955752
Kim Michael Reichert, DPM's National Provider Identifier is 1710955752, issued on Mar 8, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Belleville, IL. The record was last updated on Apr 24, 2012.