Individual
DR. KEVIN WILLIAM SOUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DUKE UNIVERSITY MEDICAL CTR, BOX 2910, DURHAM, NC 27710-0001
(919) 668-3426
Mailing address
605 PEBBLE BEACH DR, SILVER SPRING, MD 20904-3575
(301) 680-9399
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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