Individual
KEVIN OTEY HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1331 N ELM ST STE 200, GREENSBORO, NC 27401-6304
(336) 274-6682
(336) 274-8097
Mailing address
PO BOX 85378, CHICAGO, IL 60689-5378
(336) 274-6682
(336) 274-8097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL33644
SC
2085N0700X
Neuroradiology Physician
Primary
200200231
NC
2085R0202X
Diagnostic Radiology Physician
200200231
NC
Other
Enumeration date
06/09/2011
Last updated
09/30/2025
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