M & L Podiatry PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

312 Issued in NC

Legal business name

M & L PODIATRY PA

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

Organization subpart

No

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

Authorized official

Name

Dr. Kevin L Killian, DPM

Title

Podiatrist Owner

Phone

(704) 847-9788

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

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

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890156X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthews Foot Care Lincoln Foot Care Waxhaw Foot Care Dr Kevin L Killi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lux Eye Care, O.D, PLLC
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• Diane Reid Lyon, M.A., L.P.C., N.C.C.
• M. Avey & Associates NC PC VII
• M. Brad Forrest & Stacy Oller Forrest, DMD, PA
• Joseph Maceyak
• Bailey R Machuca, LPCA
• Angel Mack

• Podiatrist in Matthews, NC
• Providers in Matthews, NC by specialty
• Podiatrist in North Carolina

• 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.