Individual
ADAM TROY KANSAGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
210 ASHVILLE AVE, CARY, NC 27518-6676
(919) 235-6460
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2013-00633
NC
207VG0400X
Gynecology Physician
2013-00633
NC
207VX0000X
Obstetrics Physician
2013-00633
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306077474
—
NC
01
—
1791E
BCBSNC
NC
Enumeration date
08/06/2009
Last updated
05/26/2022
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