1598635583 NPI number — FOOT SPECIALISTS OF KANSAS CITY, P.A.

Table of content: MS. KRISTIN MARIE MEZA PT (NPI 1922400068)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598635583 NPI number — FOOT SPECIALISTS OF KANSAS CITY, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FOOT SPECIALISTS OF KANSAS CITY, P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598635583
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/06/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 825159
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19182-5159
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4811 S ARROWHEAD DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDEPENDENCE
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64055-6981
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-356-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/06/2025

Additional Information

Authorized Official

Authorized Official Last Name:
NELSON
Authorized Official First Name:
KRISTA
Authorized Official Middle Name:
NICOLE
Authorized Official Title or Position:
DPM
Authorized Official Telephone Number:
314-739-7100

Provider Taxonomy Codes

  • Taxonomy code: 213ES0103X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 213E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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