Provider Demographics
NPI:1972727444
Name:ADVANCED FOOT CARE P.C.
Entity Type:Organization
Organization Name:ADVANCED FOOT CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:KUVENT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:480-917-2300
Mailing Address - Street 1:3225 S ALMA SCHOOL RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-3763
Mailing Address - Country:US
Mailing Address - Phone:480-917-2300
Mailing Address - Fax:480-917-5400
Practice Address - Street 1:3225 S ALMA SCHOOL RD
Practice Address - Street 2:SUITE 3
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-3763
Practice Address - Country:US
Practice Address - Phone:480-917-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0633213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
6461780001OtherPTAN