Individual
DR. KEVIN DAVID PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
512 VILLAGE RD STE 205, SHALLOTTE, NC 28470-3409
(910) 754-4441
(910) 754-5307
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(910) 754-4441
(910) 754-5307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007-01857
NC
207R00000X
Internal Medicine Physician
223240
MA
207R00000X
Internal Medicine Physician
DO00608
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908618
—
NC
05
—
Q57009
—
SC
Enumeration date
05/31/2006
Last updated
02/13/2024
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