Provider Demographics
NPI:1275291890
Name:LITTLE APPLE PODIATRY, LLC
Entity Type:Organization
Organization Name:LITTLE APPLE PODIATRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/EMPLOYEE
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:COSENTINO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:785-775-0050
Mailing Address - Street 1:711 WHITETAIL PASS
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-2598
Mailing Address - Country:US
Mailing Address - Phone:316-461-0532
Mailing Address - Fax:785-320-2066
Practice Address - Street 1:1133 COLLEGE AVE STE A211
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2751
Practice Address - Country:US
Practice Address - Phone:785-775-0050
Practice Address - Fax:785-576-2580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-01
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1200458OtherSTATE LICENSE NUMBER