Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 745 | NC |
N | 222Z00000X | Podiatrist | 745 | NC |
Y | 213ES0103X | Foot & Ankle Surgery | 745 | NC |
N | 213ES0131X | Foot Surgery | 745 | NC |
NPI | 1134570773 |
---|---|
Provider Name | Kevin Patel |
First Address | Greensboro, NC 27405-5633 |
Second Address | Greensboro, NC 27405-5633 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2016 |
Last Update Date | 03/08/2020 |