KIRBY BANDOQUILLO

CHARLOTTE, NC
NPI1598150195
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: NC  5018543)
Enumeration Date2015-03-31
Last Update Date2025-05-01
Business Address
KIRBY BANDOQUILLO NP
135 W 10TH ST
CHARLOTTE, NC 28202-2229
Phone number: 704-626-3994
Mailing Address
KIRBY BANDOQUILLO NP
650 S TRYON ST STE 440
CHARLOTTE, NC 28202-3271
Phone number: 704-626-6266