Individual
KERRY EILEEN CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3949 BROWNING PL, RALEIGH, NC 27609-6504
(919) 787-8221
(919) 789-4461
Mailing address
PO BOX 19368, RALEIGH, NC 27619-9368
(919) 787-8221
(919) 789-4461
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
96-01755
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031J
BLUECROSS BLUESHIELD
NC
01
—
16-54688
UNITED HEALTHCARE
NC
01
—
16-54689
UNITED HEALTHCARE
NC
01
—
16-54690
UNITED HEALTHCARE
NC
01
—
300071496
RAILROAD MEDICARE
NC
01
—
300071497
RAILROAD MEDICARE
NC
01
—
300071498
RAILROAD MEDICARE
NC
01
—
78137
MEDCOST
NC
01
—
79461
MEDCOST
NC
01
—
79463
MEDCOST
NC
05
—
891031J
—
NC
Enumeration date
05/01/2006
Last updated
03/26/2019
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