Provider Demographics
NPI:1598081259
Name:MUHLENBERG FAMILY FOOTCARE LTD
Entity Type:Organization
Organization Name:MUHLENBERG FAMILY FOOTCARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:KLEE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-375-0395
Mailing Address - Street 1:4148 KUTZTOWN RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:PA
Mailing Address - Zip Code:19560-1900
Mailing Address - Country:US
Mailing Address - Phone:610-375-0395
Mailing Address - Fax:610-685-7849
Practice Address - Street 1:4148 KUTZTOWN RD
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:PA
Practice Address - Zip Code:19560-1900
Practice Address - Country:US
Practice Address - Phone:610-375-0395
Practice Address - Fax:610-685-7849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004207R213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty