Kornely Podiatry, Llc
Podiatrist
2358 W Washington St, West Bend
Wisconsin, 53095-2118
262-335-2930 262-335-2931
Kornely Podiatry, Llc is a Podiatrist in West Bend, Wisconsin. It is located at 2358 W Washington St, West Bend and it's customer support contact number is 262-335-2930. The authorized person of Kornely Podiatry, Llc is Dr. Lisa G. Kornely, DPM who is Owner of this DME and his contact number is 262-335-2930. Active license number of Kornely Podiatry, Llc is 774-025 for Podiatrist in Wisconsin. Kornely Podiatry, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Kornely Podiatry, Llc is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
DME Supplier Details:
Kornely Podiatry, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Kornely Podiatry, Llc |
| Type: | Podiatrist |
| Location: | 2358 W Washington St, West Bend,
Wisconsin, 53095-2118 |
| Phone: | 262-335-2930 |
| Fax: | 262-335-2931 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Lisa G. Kornely |
| Credentials: | DPM |
| Position: | Owner |
| Contact Number: | 262-335-2930 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1861449720 |
| NPI Enumeration Date: | 27 May, 2006 |
| NPI Last Update On: | 01 Feb, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kornely Podiatry, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Podiatrist | 774-025 | Wisconsin | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 43225400 | Medicaid | Wisconsin | |
Medicare Enrollment:
Kornely Podiatry, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7719986009 | O20061214000331 | Kornely Podiatry Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 7719986009 | O20100930035543 | Kornely Podiatry Llc | DME SUPPLIER - PHYSICIAN - PODIATRY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2358 W Washington St,
West Bend, Wisconsin |
| Zip: | 53095-2118 |
| Phone Number: | 262-335-2930 |
| Fax Number: | 262-335-2931 |
Patients can reach Kornely Podiatry, Llc at
2358 W Washington St, West Bend, Wisconsin or can
call on customer care at 262-335-2930.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.