Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | N3753 | NY |
NPI | 1083677900 |
---|---|
Provider Name | Dr. Kevin Thomas Jules |
First Address | Baldwin, NY 11510-5155 |
Second Address | Brooklyn, NY 11201-2562 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 23/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T51296 | (02) |