OrganizationActive
Jla Senior Footcare Mo LLC
NPI 1649587122 · Foot Surgery Podiatrist · Kansas City, MO
Provider details
- NPI number
- 1649587122
- Entity type
- Organization
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Anthony Innocenzi, Owner(330) 702-0978
- License
- 1200367 (KS)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
640 W 67th Ter
Kansas City, MO 64113-1945
Phone: (816) 516-7453
Approximate (ZIP-level) locationGet directions
Mailing address
4870 S Aspen Ct
Canfield, OH 44406-8469
Registry dates
- Enumerated
- 2010-09-07
- Last updated
- 2010-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.