Kenneth Indahl

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00100900 Issued in NJ

Legal business name

KENNETH INDAHL

Doing business as

Allaire Foot & Ankle Center

Practice address

2399 Highway 34
Suite A6
Manasquan, NJ 08736-1500

Phone

(732) 528-8223

Fax

(732) 528-7057

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Indahl, DPMNPI 1780652644

Title

Owner

Phone

(732) 528-8223

Specialties & licenses 1

Addresses

Other names 1

• ALLAIRE FOOT & ANKLE CENTER Doing business as

Locations

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.

• Kenneth G Indahl, DPM

  • Podiatrist
  • Manasquan, NJ
  • NPI 1780652644
  NPD (past) Authorized official

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1821289828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2399 HIGHWAY 34",
            "address_2": "SUITE A6",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361500",
            "telephone_number": "732-528-8223",
            "fax_number": "732-528-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 HIGHWAY 34",
            "address_2": "SUITE A6",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361500",
            "telephone_number": "732-528-8223",
            "fax_number": "732-528-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH INDAHL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "INDAHL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-528-8223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00100900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLAIRE FOOT & ANKLE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Keelan, MD
• Michael P Keenan, OWNER, KMFITNESS
• Jill Patricia Keer, MS, RDN
• John R Keller, RPH
• Jonathan A. Keller, PHARMD
• Brittany Lynn Khan, MS, CCC-SLP
• Raven Lea Kim, LMHC, RN
• Carol M King, LPC
• Kathleen Kinzley, O.D.
• Joseph Klein, PSY.D.

• Foot & Ankle Surgery Podiatrist in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.