Organization Active NPI

KSF LLC

Doing business as The Foot Clinic

  • Durable Medical Equipment & Medical Supplies
  • Lancaster, SC
National Provider Identifier
1023207560
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0716208 Issued in SC
Legal business name
KSF LLC
Doing business as
The Foot Clinic
Practice address
1025 W Meeting St
Suite 200
Lancaster, SC 29720-2204
Phone
(803) 285-7948
Fax
(803) 283-4329
NPI assigned
Oct 22, 2007
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Keith D Shealy, M.D.
Title
President
Phone
(803) 825-7948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0716208 SC Primary

Addresses

Primary practice location

1025 W Meeting St
Suite 200
Lancaster, SC 29720-2204

Mailing address

1025 W Meeting St
Suite 200
Lancaster, SC 29720-2204
Phone (803) 285-7948

Other identifiers 2

IdentifierTypeStateIssuer
6028500001OtherSCMEDICARE DME (PTAN)
DE3106MedicaidSC

Other names 1

  • The Foot Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1025 W Meeting St
Ste 200
Lancaster, SC 29720
Phone (803) 285-1082

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1023207560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W MEETING ST",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202204",
            "telephone_number": "803-285-7948",
            "fax_number": "803-283-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W MEETING ST",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202204",
            "telephone_number": "803-285-7948",
            "fax_number": "803-283-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "SHEALY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-825-7948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "0716208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME (PTAN)",
            "identifier": "6028500001",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE3106",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.