Individual
KYLE ROEDERSHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
Mailing address
944 HENLEY PL, CHARLOTTE, NC 28207-1618
(513) 256-5696
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
217900
NC
Other
Enumeration date
03/24/2016
Last updated
07/01/2019
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