Organization
M & L PODIATRY PA
Active
Other names
Matthews Foot Care Lincoln Foot Care Waxhaw Foot Care Dr Kevin L Killi
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN L KILLIAN DPM (PODIATRIST OWNER)
(704) 847-9788
Entity
Organization
Contact information
Practice address
534 W JOHN ST, STE 100, MATTHEWS, NC 28105-5353
(704) 847-9788
(704) 849-2928
Mailing address
534 W JOHN ST, STE 100, MATTHEWS, NC 28105-5353
(704) 847-9788
(704) 849-2928
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
312
NC
213E00000X
Podiatrist
367
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890156X
—
NC
Enumeration date
09/13/2005
Last updated
06/06/2011
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