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Organization
CAROLINA NEPHROLOGY PA
Active
Organization
CAROLINA NEPHROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DAVID KEMP MD (PRESIDENT OWNER)
(919) 580-1026
Entity
Organization
Contact information
Practice address
1704A WAYNE MEMORIAL DRIVE, GOLDSBORO, NC 27534
(919) 580-1026
(919) 580-1027
Mailing address
1704A WAYNE MEMORIAL DRIVE, GOLDSBORO, NC 27534
(919) 580-1026
(919) 580-1027
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0094-00540
NC
207RN0300X
Nephrology Physician
2005-00739
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0294F
BCBS
—
01
—
1193E
BCBS
—
01
—
1225026289
PROVIDER INDIVIDUAL NPI
—
01
—
14OUT
BCBS
—
01
—
1790879997
PROVIDER INDIVIDUAL NPI
—
01
—
1932293131
PROVIDER INDIVIDUAL NPI
—
05
—
5901460
—
NC
05
—
790294F
—
NC
05
—
891193E
—
NC
Enumeration date
02/07/2007
Last updated
02/06/2008
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