Individual
KEVIN IRVING STROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1300 W LODI AVE, STE W, LODI, CA 95242-3037
(209) 334-6664
(209) 334-2379
Mailing address
1300 W LODI AVE, STE W, LODI, CA 95242-3037
(209) 334-6664
(209) 334-2379
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3467
CA
213ER0200X
Radiology Podiatrist
E3467
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E34670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E34670
—
CA
Enumeration date
05/31/2005
Last updated
05/19/2010
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