Individual
KEVIN C MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1022 LEE ANN DR NE, CONCORD, NC 28025-2911
(704) 786-4482
(704) 786-0604
Mailing address
1022 LEE-ANN DRIVE NE, CONCORD, NC 28025
(704) 886-1918
(704) 257-2049
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
443
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
443
NC
213ES0131X
Foot Surgery Podiatrist
443
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890811C
—
NC
01
—
P01141570
RAILROAD
NC
Enumeration date
08/20/2006
Last updated
08/09/2022
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