Organization
KIRON CLINICAL SLEEP LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R DOYLE (PRESIDENT/CEO)
(770) 965-0383
Entity
Organization
Contact information
Practice address
2609 N DUKE ST, SUITE 604, DURHAM, NC 27704-3048
(919) 382-3240
Mailing address
2609 N DUKE ST, SUITE 604, DURHAM, NC 27704-3048
(919) 382-3240
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34166
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014W6
BCBS
NC
01
—
207009
ANTHEM BCBS
VA
01
—
3555569
UNITED HEALTHCARE
NM
05
—
89014W6
—
NC
Enumeration date
11/02/2005
Last updated
04/08/2014
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