Provider Demographics
NPI:1255449641
Name:KAIL, JANET RENAE NEFF (DPM)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:RENAE NEFF
Last Name:KAIL
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1194 WHITETAIL DR
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-9466
Mailing Address - Country:US
Mailing Address - Phone:937-657-8666
Mailing Address - Fax:
Practice Address - Street 1:402 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-4817
Practice Address - Country:US
Practice Address - Phone:937-878-2800
Practice Address - Fax:937-878-7261
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.002830213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0997284Medicaid
OHNE 0777537Medicare PIN
OH0997284Medicaid
U52105Medicare UPIN