NPIMap

Organization Active NPI

M & L Podiatry PA

Doing business as Matthews Foot Care Lincoln Foot Care Waxhaw Foot Care Dr Kevin L Killi

  • Podiatrist
  • Matthews, NC
National Provider Identifier
1679568919
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
312 Issued in NC
Legal business name
M & L PODIATRY PA
Doing business as
Matthews Foot Care Lincoln Foot Care Waxhaw Foot Care Dr Kevin L Killi
Practice address
534 W John St
Ste 100
Matthews, NC 28105-5353
Phone
(704) 847-9788
Fax
(704) 849-2928
NPI assigned
Sep 13, 2005
Last updated
Jun 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kevin L Killian, DPMNPI 1225023930
Title
Podiatrist Owner
Phone
(704) 847-9788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 312 NC Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 367 NC

Addresses

Primary practice location

534 W John St
Ste 100
Matthews, NC 28105-5353

Mailing address

534 W John St
Ste 100
Matthews, NC 28105-5353
Phone (704) 847-9788

Other names 1

  • Matthews Foot Care Lincoln Foot Care Waxhaw Foot Care Dr Kevin L Killi Doing business as

National Provider Directory

National Provider Directory

Locations

528 N Broome St
Waxhaw, NC 28173
Phone (704) 243-7844

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1679568919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 W JOHN ST",
            "address_2": "STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055353",
            "telephone_number": "704-847-9788",
            "fax_number": "704-849-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 W JOHN ST",
            "address_2": "STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055353",
            "telephone_number": "704-847-9788",
            "fax_number": "704-849-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & L PODIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PODIATRIST OWNER",
        "authorized_official_telephone_number": "704-847-9788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "312",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "367",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthews Foot Care Lincoln Foot Care Waxhaw Foot Care Dr Kevin L Killi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.