Active NPIIndividual provider

Dr. Kenneth G Indahl, DPM

Podiatrist in Manasquan, New Jersey

NPI Number1780652644
Practice location
2399 Highway 34, Suite A-6, Manasquan, NJ 08736-1500
Fax
732-528-7057
Last updated
January 30, 2012

Kenneth G Indahl is a Podiatrist based in Manasquan, NJ. 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 (NJ). The current practice location address for Kenneth G Indahl is 2399 Highway 34, Suite A-6, Manasquan, NJ 08736-1500 and can be reached out via phone at 732-528-8223 and via fax at 732-528-7057.

Provider Profile Details

NPI Number
1780652644
Provider Name
Kenneth G Indahl
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2399 Highway 34, Suite A-6, Manasquan, NJ 08736-1500
Phone Number
732-528-8223
Fax Number
732-528-7057
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
No
Provider Enumeration Date
March 8, 2006
Last Update Date
January 30, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
2399 Highway 34
Suite A-6
Manasquan, NJ 08736-1500
Zip
08736-1500
Phone Number
732-528-8223
Fax Number
732-528-7057
Manasquan, NJ 08736Get directions →

Provider Business Mailing Address Details

Address
2399 Highway 34
Suite A-6
Manasquan, NJ 08736-1500
City
Manasquan
State
NJ
Zip
08736-1500
Phone Number
732-528-8223
Fax Number
732-528-7057

License Information

License Number (1)
25md00100900
License State (1)
NJ
Taxonomy (1)
Podiatrist · 213E00000X · Primary
License Number (2)
25md00100900
License State (2)
NJ
Taxonomy (2)
Podiatrist, Foot & Ankle Surgery · 213ES0103X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kenneth G Indahl, DPM?

The NPI number of Dr. Kenneth G Indahl, DPM is 1780652644. It was assigned on March 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth G Indahl, DPM?

Dr. Kenneth G Indahl, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number 25md00100900.

Where does Dr. Kenneth G Indahl, DPM practice?

The practice location is 2399 Highway 34, Suite A-6, Manasquan, NJ 08736-1500. The office can be reached at 732-528-8223 (phone) or 732-528-7057 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780652644 directly on the NPPES registry website.

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