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Individual

DR. BRIAN LAMAR KILLIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
MATTHEWS FOOT CARE, 526 WEST JOHN STREET, MATTHEWS, NC 28105-5353
(704) 847-9788
(704) 849-2928
Mailing address
M AND L PODIATRY, 526 WEST JOHN STREET, MATTHEWS, NC 28105-5353
(704) 847-9788
(704) 849-2928

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
367
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
367
STATE LICENSE
NC
05
890804C
NC
Enumeration date
09/19/2005
Last updated
02/18/2021
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