Individual
KEVIN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
560 RIVERSIDE DR, SUITE A-101, SALISBURY, MD 21801-4700
(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
01513
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC005904
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243715YHZX
MEDICARE UNSPECIFIED
MD
01
—
PENDING
CAREFIRST
MD
05
—
PENDING
—
MD
Enumeration date
06/13/2007
Last updated
09/12/2012
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