DR. KEVIN LEE KILLIAN (NPI# 1225023930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225023930 |
| Entity Type | Individual |
| Full Name | DR. KEVIN LEE KILLIAN |
| Credential | DPM |
| Practice Address |
534 West John Street Matthews Foot Care Matthews NC 28105 |
| Mailing Address |
534 West John Street M and L Podiatry Matthews NC 28105 |
| Practice Telephone | 7048479788 |
| Practice Fax Number | 7048492928 |
| Mailing Telephone | 7048479788 |
| Mailing Fax Number | 7048492928 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2010-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 312 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890806N | 05 | |
| NC | STATE LICENSE | 312 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225148273 | Kevin Michael Killian | Dentist | 625 Salt Lick Rd, Saint Peters, MO 63376-1170 | 2006-08-30 |
| 1073141966 | Kevin Killian | Student in an Organized Health Care Education/Training Program | 205 N East Ave, Jackson, MI 49201-1753 | 2020-03-28 |
| 1053464933 | Kevin Lee Killian | Counselor | 673 San Jose Ave, San Francisco, CA 94110-4914 | 2007-01-22 |
| Street Address |
534 WEST JOHN STREET MATTHEWS FOOT CARE |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508215179 | Bryan Joseph Williams | Podiatrist | 428 N Trade St Ste 100, Matthews, NC 28105-1729 | 2016-06-06 |
| 1164746517 | Healy, Inc | Podiatrist | 733 Plantation Estates Drive, Matthews, NC 28105-9179 | 2010-03-15 |
| 1245247857 | Blaise Charles Woeste | Podiatrist | 2950 Senna Dr, Matthews, NC 28105-6722 | 2006-08-03 |
| 1417942137 | Brian Lamar Killian | Podiatrist | Matthews Foot Care, 526 West John Street, Matthews, NC 28105-5353 | 2005-09-19 |
| 1679568919 | M & L Podiatry Pa | Podiatrist | 534 W John St, Ste 100, Matthews, NC 28105-5353 | 2005-09-13 |
| 1265672604 | Ward Foot Centers | Podiatrist | 2950 Senna Dr, Matthews, NC 28105-6722 | 2009-02-25 |
| 1508048216 | Catherine Birdsall Healy | Podiatrist | 733 Plantation Estates Dr, Matthews, NC 28105-9116 | 2007-12-04 |
| 1154332815 | Eric Vaughn Ward | Podiatrist | 2950 Senna Dr, Matthews, NC 28105-6722 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457913006 | Caromont Medical Group Inc | Podiatrist | 2555 Court Dr Ste 250, Gastonia, NC 28054-2185 | 2019-07-03 |
| 1902370968 | Mission Foot and Ankle, Pllc | Podiatrist | 4140 Fayetteville Rd, Lumberton, NC 28358-2669 | 2019-01-14 |
| 1912474784 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1004 Werrington Drive, Suite 300, Holly Springs, NC 27540 | 2018-10-30 |
| 1598240525 | Innovative Foot and Ankle Care Pllc | Podiatrist | 318 English Oak Rd, Fletcher, NC 28732-8368 | 2018-09-25 |
| 1568949915 | Natalie Patricia Martinez-jones | Podiatrist | 9601 Holly Point Dr Ste 203, Huntersville, NC 28078-5069 | 2018-07-27 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1477908846 | James Keith Smith | Podiatrist | 6 Regional Dr Suite D, Pinehurst, NC 28374-8850 | 2016-05-04 |
| 1578941423 | Kristin A Kirby | Podiatrist | 15419 Hodges Cir Ste 200, Huntersville, NC 28078 | 2015-05-12 |
| 1396138228 | Barnabas Podiatry & Health Wellness Center LLC | Podiatrist | 2709 Southern Trace Dr, Waxhaw, NC 28173-0010 | 2015-03-17 |
| 1578969515 | Hugh Chatham Memorial Hospital | Podiatrist | 150 Chatham Medical Park, Elkin, NC 28621-2445 | 2014-11-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.