Kevin M Supple in Greensboro - Specialist

Kevin M Supple - NPI 1326049412

Kevin M Supple is a Specialist in Greensboro, North Carolina. Kevin M Supple practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kevin M Supple is 1326049412. The last update date is 2022-02-24.

Kevin M Supple's current location address is Po Box 38008, Greensboro, North Carolina. You can contact this provider via phone number 3365455000 and fax number 3365455020. The mailing address for Kevin M Supple is Po Box 38008, Greensboro, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin M Supple
Address Po Box 38008, Greensboro, North Carolina
Phone Number 3365455000
Fax Number 3365455020
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1326049412
Provider Enumeration Date 2005-08-10
Last Updated Date 2022-02-24

Provider Mailing Address Detail

Address Po Box 38008
City Greensboro
State North Carolina (NC)
Post Code 274388008
Phone Number 3365455000
Fax Number 3365455020

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 36604
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8981007 NC --

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FAQs about Kevin M Supple

What is the unique identification code assigned to Kevin M Supple by the Centers for Medicare & Medicaid Services?

The Kevin M Supple has been issued the NPI (National Provider Identifier) 1326049412. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kevin M Supple's facilities are geographically located?

The facilities of Kevin M Supple are physically situated at the following location: Po Box 38008, Greensboro, NC, 274388008.

What is Kevin M Supple's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kevin M Supple's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

When did the Kevin M Supple receive its 1326049412?

The Kevin M Supple was issued its 1326049412 on 2005-08-10, which is the date when the organization was assigned this unique identifier.

When was the Kevin M Supple's information last updated?

The Kevin M Supple's information was last updated on 2022-02-24.

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