M & L Podiatry PA

NPI #1679568919 in Matthews, North Carolina

Provider Information

NPI Number
1679568919
Entity Type
Organization
Organization Name
M & L Podiatry PA
Primary Specialty
Podiatrist
Enumeration Date
Sep 13, 2005
Last Updated
Jun 6, 2011

Practice Location

Address
534 W JOHN ST
Address 2
STE 100
ZIP Code
28105-5353
Phone
(704) 847-9788

Authorized Official

Name
DR. KEVIN L KILLIAN, DPM
Title
PODIATRIST OWNER
Phone
(704) 847-9788

Specialties & Taxonomy Codes

Specialty
Podiatrist

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