Provider Demographics
NPI:1992188452
Name:KYPRIOS, EVANGELOS (DPM)
Entity Type:Individual
Prefix:
First Name:EVANGELOS
Middle Name:
Last Name:KYPRIOS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 WALNUT AVE SW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24016-4723
Mailing Address - Country:US
Mailing Address - Phone:540-344-3668
Mailing Address - Fax:540-774-4615
Practice Address - Street 1:2601 THORNTON LN
Practice Address - Street 2:200
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-1808
Practice Address - Country:US
Practice Address - Phone:254-935-5800
Practice Address - Fax:254-935-5806
Is Sole Proprietor?:No
Enumeration Date:2015-07-01
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT67-2015213ES0103X
VA0103301240213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery