Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 96-001360 | NC |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 96-001360 | NC |
NPI | 1245213057 |
---|---|
Provider Name | Dr. Kevin Todd James |
First Address | Charlotte, NC 28209-3239 |
Second Address | Shelby, NC 28150-3575 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2005 |
Last Update Date | 12/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8945610 | (05) | NC |
8945613 | (05) | NC |
G31276 | (02) | NC |