# KEVIN TERRY DPM

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

## Provider details

- **NPI number:** 1316101108
- **Authorized official:** KEVIN TERRY DPM (OWNER)
- **Authorized official phone:** (410) 583-9206

## Contact information

- **Practice address:** 1205 YORK RD, SUITE 17, LUTHERVILLE, MD 21093-6210
- **Practice address phone:** (410) 583-9206
- **Practice address fax:** (410) 821-8639
- **Mailing address:** PO BOX 1278, HUNT VALLEY, MD 21030-6278
- **Mailing address phone:** (410) 583-9206
- **Mailing address fax:** (410) 821-8639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 01142 | MD | Yes |

## Other

- **Enumeration date:** 07/11/2008
- **Last updated:** 07/11/2008