Diabetic Shoe Clinic LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIABETIC SHOE CLINIC LLC

Doing business as

Diabetic Shoe Clinic

Practice address

2611 Greenbo Blvd
Flatwoods, KY 41139-1830

Phone

(606) 644-3815

NPI assigned

May 22, 2025

Last updated

May 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Kiser

Title

Owner

Phone

(606) 644-3815

Specialties & licenses 2

Addresses

Other names 1

• Diabetic Shoe Clinic Doing business as

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1992598023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 SPRING MEADOW DR",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401609443",
            "telephone_number": "606-644-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 GREENBO BLVD",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411391830",
            "telephone_number": "606-644-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC SHOE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "KISER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-644-3815"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetic Shoe Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Alan Clark, R.PH.
• Contemplations Behavioral Health (Contemplations Counseling Services)
• Kristin Utley Daniels, PHARMD
• Lisa Renee Davis, APRN
• Rosa Lee Delong, D.P.T.
• Brittani Kay Dingess, D.O.
• Dr James T Brom PSC
• Carrie Dudley
• Anna Marie Elkins, APRN
• Angela Sue Ellison, LCSW

• Durable Medical Equipment & Medical Supplies in Flatwoods, KY
• Providers in Flatwoods, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.