KENNETH INDAHL

ALLAIRE FOOT AND ANKLE

Dr KENNETH INDAHL is a male medical professional, specializing in Podiatry. He graduated in 1974 from New York College Of Podiatric Medicine.

Contact

ALLAIRE FOOT AND ANKLE

2399 HWY 34
BLDG A6
MANASQUAN
NJ
087361500

Tel: 7325280815

KENNETH INDAHL Information

Npi 1780652644
Pac Id 3870496557
Professional Enrollment Id I20080325000231
Last Name INDAHL
First Name KENNETH
Middle Name
Suffix
Gender M
Credential
Medical School Name NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year 1974
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ALLAIRE FOOT AND ANKLE
Group Practice Pac Id 6305922071
Number Of Group Practice Members 5
Line 1 Street Address 2399 HWY 34
Line 2 Street Address BLDG A6
Marker Of Address Line 2 Suppression
City MANASQUAN
State NJ
Zip Code 087361500
Phone Number 7325280815
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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