Individual
RUSSEL KAHMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(800) 782-6945
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2016-00402
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2010
Last updated
08/30/2016
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