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Individual

KEVIN ANTONIO LOPEZ-SHIRLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 YADKIN ST, CAROLINAS HOSPITALIST GROUP - STANLY, ALBEMARLE, NC 28001-3441
(704) 984-4365
(704) 983-7856
Mailing address
PO BOX 601643, CHARLOTTE, NC 28260-1643
(704) 984-4365
(704) 983-7856

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008-01556
NC
207R00000X
Internal Medicine Physician
202266
NY
207R00000X
Internal Medicine Physician
33290
SC
208M00000X
Hospitalist Physician
Primary
2008-01556
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01749320
NY
05
1872287
PA
01
2023307
MEDICARE PTAN
NC
01
2023307B
MEDICARE PTAN, INDIVIDUAL
05
5910822
NC
05
Q0155E
SC
Enumeration date
07/31/2006
Last updated
06/18/2025
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