Individual
DR. KEVIN WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3475 EWIN RD, 2ND FLOOR - AESTHETICS CENTER, DURHAM, NC 27705
(919) 660-6606
Mailing address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
99-00714
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891229J
—
NC
Enumeration date
10/19/2006
Last updated
10/14/2013
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