Individual
DR. KEVIN CARL GENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27710-4330
(919) 684-1111
Mailing address
2504 MAGNOLIA TREE LN, DURHAM, NC 27703-6421
(402) 639-0955
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2021-01151
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2017
Last updated
07/26/2022
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