Organization
FAIRBROOK MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W KESSEL MD (PRESIDENT)
(828) 327-4745
Entity
Organization
Contact information
Practice address
1985 STARTOWN RD, HICKORY, NC 28602-8307
(828) 327-4745
(828) 327-0841
Mailing address
1985 STARTOWN RD, HICKORY, NC 28602-8307
(828) 327-4745
(828) 327-0841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36206
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0153K
BCBS
NC
05
—
890153K
—
NC
01
—
CJ5683
RAILROAD MEDICARE
NC
Enumeration date
04/07/2006
Last updated
05/01/2008
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