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Individual
DR. KENYON MALA CHAVIS
Active
Individual
DR. KENYON MALA CHAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200801349
NC
207R00000X
Internal Medicine Physician
2008-01349
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910124
—
NC
Enumeration date
08/26/2008
Last updated
08/03/2021
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