# INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083968614
- **Authorized official:** DR. KEVIN L KILLIAN (PARTNER)
- **Authorized official phone:** (704) 847-9788

## Contact information

- **Practice address:** 626 CLARK DR, LINCOLNTON, NC 28092-3719
- **Practice address phone:** (704) 732-4361
- **Practice address fax:** (704) 849-2928
- **Mailing address:** 534 W JOHN ST, STE 100, MATTHEWS, NC 28105-5483
- **Mailing address phone:** (704) 847-9788
- **Mailing address fax:** (704) 849-2928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2012
- **Last updated:** 06/30/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 890156X | — | NC |