Dr. Kali Etheredge
Podiatrist
701 Park Ave
Lake Park
, Florida 33403-2503
Dr. Kali Etheredge
Podiatrist
701 Park Ave
Lake Park
, Florida 33403-2503
(561) 848-7812
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Kali Etheredge
- 11380 Prosperity Farms Rd Ste 221e
- Palm Beach Gardens, FL
- Zip : 33410-3465
- Fax : (561) 848-7812
- Phone : (561) 848-7722
Second Address
- Dr. Kali Etheredge
- 701 Park Ave
- Lake Park, FL
- Zip : 33403-2503
- Fax : (561) 848-7812
- Phone : (561) 848-7722
Reviews
FAQs
Where did Dr. Kali Etheredge attend graduate school?
Where did Dr. Kali Etheredge do her residency?
Where did Dr. Kali Etheredge do her fellowship?
Is Dr. Kali Etheredge board certified?
What type of doctor is Dr. Kali Etheredge
In what state does Dr. Kali Etheredge practice in?
Where is Dr. Kali Etheredge ’s practice located?
What is Dr. Kali Etheredge ’s gender?
Is Dr. Kali Etheredge a sole practitioner?
Is Dr. Kali Etheredge accepting new patients?
What languages does Dr. Kali Etheredge speak?
Does Dr. Kali Etheredge accept insurance?
Does Dr. Kali Etheredge offers telemedicine?
What is Dr. Kali Etheredge ’s professional license number?
What is Dr. Kali Etheredge ’s NPI number?
Does Dr. Kali Etheredge have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO3255 | FL |
| Y | 222Z00000X | Podiatrist | PO3255 | FL |
| N | 213E00000X | Podiatrist | POD001044 | GA |
| N | 222Z00000X | Podiatrist | POD001044 | GA |
National Provider Identifier
| NPI | 1063429702 |
|---|---|
| Provider Name | Dr. Kali Etheredge |
| First Address | Palm Beach Gardens, FL 33410-3465 |
| Second Address | Lake Park, FL 33403-2503 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2006 |
| Last Update Date | 28/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| BE9720156 | DEA NUMBER (01) | |
| PO3255 | STATE LICENSE (01) | FL |
| POD001044 | STATE LICENSE (01) | GA |
| V10433 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.