Individual
MATTHEW JOHN KESIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, PA-S2
Contact information
Practice address
217 MAIN STREET, BUIES CREEK, NC 27506
(910) 893-1690
Mailing address
2536 HEATHCOTE LN, APEX, NC 27502-8518
(919) 607-9924
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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