Organization
INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN L KILLIAN (PARTNER)
(704) 847-9788
Entity
Organization
Contact information
Practice address
626 CLARK DR, LINCOLNTON, NC 28092-3719
(704) 732-4361
(704) 849-2928
Mailing address
534 W JOHN ST, STE 100, MATTHEWS, NC 28105-5483
(704) 847-9788
(704) 849-2928
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890156X
—
NC
Enumeration date
11/05/2012
Last updated
06/30/2016
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