Organization
KESTAHL & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL LADD ANDERSON R.N. (VACCINE COORDINATOR)
(919) 542-5673
Entity
Organization
Contact information
Practice address
590 MOUNTAIN LAUREL, CHAPEL HILL, NC 27517-7615
(919) 542-5673
Mailing address
590 MOUNTAIN LAUREL, CHAPEL HILL, NC 27517-7615
(919) 542-5673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
166286
NC
Other
Enumeration date
06/26/2006
Last updated
07/21/2022
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