NPI | 1649984774 |
---|---|
Doing Business As | KERNODLE CLINIC WEST |
Entity Type | Organization |
Authorized Contact | JOHN STUART SMITH VP Finance 919-620-4855 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine |
207X00000X Orthopaedic Surgery | |
Enumeration Date | 2023-01-12 |
Last Update Date | 2023-09-12 |