Individual
DR. KEVIN LEE KILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
534 WEST JOHN STREET, MATTHEWS FOOT CARE, MATTHEWS, NC 28105
(704) 847-9788
(704) 849-2928
Mailing address
534 WEST JOHN STREET, M AND L PODIATRY, MATTHEWS, NC 28105
(704) 847-9788
(704) 849-2928
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
312
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312
STATE LICENSE
NC
05
—
890806N
—
NC
Enumeration date
09/19/2005
Last updated
08/31/2010
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