# ASHEVILLE FAMILY MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518951045
- **Authorized official:** MR. KEVIN B TREAKLE M.D. (PHYCISIAN)
- **Authorized official phone:** (828) 252-8885

## Contact information

- **Practice address:** 41 OAKLAND RD, SUITE 300, ASHEVILLE, NC 28801-4820
- **Practice address phone:** (828) 252-8885
- **Practice address fax:** (828) 252-9420
- **Mailing address:** 41 OAKLAND RD, SUITE 300, ASHEVILLE, NC 28801-4820
- **Mailing address phone:** (828) 252-8885
- **Mailing address fax:** (828) 252-9420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2005
- **Last updated:** 07/16/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01063 | BLUE CROSS BLUE SHIELD | NC |
| 05 | — | 7901063 | — | NC |