Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KALI ETHEREDGE, DPM
Active Sole ProprietorDR. KALI ETHEREDGE, DPM is a Podiatrist healthcare provider located in LAKE PARK, Florida. NPI 1063429702 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · LAKE PARK, FL
Registration Details
- NPI Number
- 1063429702
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 2, 2006 (20.07395653745 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
POD001044 (GA)PO3255 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
701 PARK AVELAKE PARK, FL, 334032503Browse FL providers · Browse ZIP 33403
- Phone
- 5618487722
- Fax
- 5618487812
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.