Organization
KEVIN THOMAS DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN THOMAS DPM (CEO/ MED. DIRECTOR)
(410) 749-0121
Entity
Organization
Contact information
Practice address
201 HALL HWY, CRISFIELD, MD 21817-2550
(410) 749-0121
(410) 749-6807
Mailing address
560 RIVERSIDE DR., SUITE A-101, SALISBURY, MD 21801
(410) 749-0121
(410) 749-6807
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3378055-02
—
MD
Enumeration date
03/18/2016
Last updated
03/15/2017
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