Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Craig Kenyon Udall, DPM

Individual provider Podiatrist · NPI 1396180477

Craig Kenyon Udall, DPM is a Podiatry in Goodyear, Arizona. Qualified in 2013, 13 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
13
Licensed in
AZ
In the registry since
2013
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

14539 W Indian School Rd Ste 880
Goodyear, AZ 85395-9279
Phone: (623) 248-4734
Fax: (623) 259-7006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 0859 (AZ)
Podiatrist Taxonomy 213E00000X · Licence 0859 (AZ)

Record details

NPI number1396180477
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 2, 2013
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address14539 W Indian School Rd Ste 880, Goodyear, AZ 85395-9279

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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