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Dr. Kenneth G Indahl, DPM
Foot & Ankle Surgery Podiatrist in Manasquan, New Jersey
NPI 1780652644

Kenneth G Indahl is a Foot & Ankle Surgery Podiatrist based in Manasquan, NJ and is specialized in Foot & Ankle Surgery. Kenneth G Indahl practices in Manasquan, NJ and has the professional credentials of DPM. The NPI Number for Kenneth G Indahl is 1780652644 and holds a License No. 25MD00100900 (New Jersey).

The current practice location address for Kenneth G Indahl is 2399 Highway 34, Manasquan, NJ and can be reached out via phone at 732-528-8223 and via fax at 732-528-7057.

Location: 2399 Highway 34, Manasquan, NJ, 08736-1500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780652644
Provider Name
Kenneth G Indahl
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2399 Highway 34, Manasquan, NJ, 08736-1500
Phone Number
732-528-8223
Fax Number
732-528-7057
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0599301 05 NJ
institution
Provider Business Practice Location Address Details
Address
2399 Highway 34
City
Manasquan
State
New Jersey
Zip
08736-1500
Phone Number
732-528-8223
Fax Number
732-528-7057
person
Provider Business Mailing Address Details
Address
2399 Highway 34
City
Manasquan
State
New Jersey
Zip
08736-1500
Phone Number
732-528-8223
Fax Number
732-528-7057
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
25MD00100900 (New Jersey)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
25MD00100900 (New Jersey)
Definition
Definition to come...
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