Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 655 | NC |
Y | 222Z00000X | Podiatrist | 655 | NC |
N | 213EP1101X | Primary Podiatric Medicine | 655 | NC |
N | 213ES0103X | Foot & Ankle Surgery | 65P84883 | NY |
N | 213ES0131X | Foot Surgery | 655 | NC |
NPI | 1629323175 |
---|---|
Provider Name | Kinjal Patel |
First Address | High Point, NC 27262-4303 |
Second Address | High Point, NC 27265-9530 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2012 |
Last Update Date | 14/05/2021 |