| NPI | 1396874285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH KIBLER Owner 919-751-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 452) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2011-09-21 |