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NPI Code Detail

MEDICARE: KEVIN TODD NAUGLE D.P.M.

MEDICARE: KEVIN TODD NAUGLE D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristSC-003451-LPA

General Provider Information

NPI Number : 1811978844
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN TODD NAUGLE D.P.M.
Provider Business Mailing Address
First Line : 654 PHILADELPHIA AVE
Second Line :
City : SHILLINGTON
State : PA
Zip : 19607-2769
Country : US
Telephone Number : 610-796-9522
Fax Number : 610-796-0105
Provider Business Practice Location Address
First Line : 654 PHILADELPHIA AVE
Second Line :
City : SHILLINGTON
State : PA
Zip : 19607-2769
Country : US
Telephone Number : 610-796-9522
Fax Number : 610-796-0105
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 07/08/2007

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