Organization
WAKEMED SPECIALISTS GROUP LLC
Active
Other names
WakeMed Children's -Pediatric Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN REVICKI PERRY (EXECUTIVE DIRECTOR OPERATIONS WPP)
(919) 350-9713
Entity
Organization
Contact information
Practice address
23 SUNNYBROOK RD, RALEIGH, NC 27610-1855
(919) 350-8000
Mailing address
PO BOX 808800, KANSAS CITY, MO 64180-8800
(877) 498-4490
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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