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Organization

KEVIN THOMAS DPM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN THOMAS D.P.M. (OWNER/PRESIDENT)
(410) 749-0121
Entity
Organization

Contact information

Practice address
12417 OCEAN GTWY, SUITE A5, OCEAN CITY, MD 21842-9521
(410) 749-0121
(410) 749-6807
Mailing address
560 RIVERSIDE DR, SUITE A-101, SALISBURY, MD 21801-4700
(410) 749-0121
(410) 749-6807

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
24370501
MD
Enumeration date
08/11/2015
Last updated
08/11/2015
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