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Individual

DR. KEVIN GREGORY BACHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1602 DOCTORS CIR, WILMINGTON, NC 28401-7406
(910) 343-8889
(910) 343-9990
Mailing address
1602 DOCTORS CIR, WILMINGTON, NC 28401-7406
(910) 343-8889
(910) 343-9990

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
449
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
449
NC
213ES0131X
Foot Surgery Podiatrist
449
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0807N
BCBS NC
NC
05
890807N
NC
01
E1550
MEDCOST
NC
01
E1552
MEDCOST
NC
01
P00959570
MEDICARE RAILROAD
Enumeration date
03/07/2006
Last updated
09/18/2013
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