| NPI | 1720329261 |
|---|---|
| Doing Business As | KERNODLE CLINIC-EASTTOWN |
| Entity Type | Organization |
| Authorized Contact | PAUL R NEWMAN Executive Director, Pdc 919-613-7652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 213E00000X Podiatrist | |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2022-07-11 |