Individual
DR. KEVIN J STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 FAIRVIEW RD, SUITE 230, MOORESVILLE, NC 28117-9504
(704) 323-2000
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01066099A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
2011-00228
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917150
—
NC
05
—
Q0022K
—
SC
Enumeration date
08/03/2006
Last updated
08/11/2011
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