Stroh, Kevin Irving

Stroh, Kevin Irving is an individual health care provider with primary practice located at 1300 W Lodi Ave Ste W, Lodi CA 95242-3037. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Radiology. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Stroh, Kevin Irving can be contacted via phone (209) 334-6664.

Contact Information

Primary practice address
1300 W Lodi Ave Ste W Lodi CA 95242-3037
Phone: (209) 334-6664
Fax: (209) 334-2379
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E34670 California
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3467 California
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X E3467 California

Profile Details

NPI number 1104829431
LBN Legal business name Stroh, Kevin Irving
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated May 19th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104829431 NPPES
California MEDICAID 000E34670

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