# KEVIN THOMAS DPM PC

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

## Provider details

- **NPI number:** 1215370986
- **Authorized official:** KEVIN THOMAS DPM (OWNER)
- **Authorized official phone:** (470) 749-0121

## Contact information

- **Practice address:** 200 2ND AVE, KINGSTON, PA 18704-5722
- **Practice address phone:** (570) 288-9315
- **Practice address fax:** (570) 288-8081
- **Mailing address:** 560 RIVERSIDE DR, SUITE A-101, SALISBURY, MD 21801-4700
- **Mailing address phone:** (410) 749-0121
- **Mailing address fax:** (410) 749-6807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC005904 | PA | Yes |

## Other

- **Enumeration date:** 04/12/2013
- **Last updated:** 04/12/2013
