Individual provider · Type 1 NPI
Kene P. Ofili Iv, DPM
Foot & Ankle Surgery Podiatrist · Woodland, CA
NPI number
1790067148
Active
Practice location
632 W Gibson Rd
Woodland, CA 95695-5169
Fax (530) 668-4777
Mailing address
3400 Data Dr 1st
Rancho Cordova, CA 95670-7956
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E5206 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1790067148
Kene P. Ofili Iv, DPM's National Provider Identifier is 1790067148, issued on Sep 12, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Woodland, CA. The record was last updated on Oct 6, 2023.