Organization
DUKE HEALTH INTEGRATED PRACTICE, INC.
Active
Parent organization
DUKE HEALTH INTEGRATED PRACTICE, INC.
Other names
Kernodle Clinic Elon
Organization subpart
Yes
Provider details
NPI number
Legal business name
DUKE HEALTH INTEGRATED PRACTICE, INC.
Authorized official
JOHN STUART SMITH (VP FINANCE)
(919) 620-4855
Entity
Organization
Contact information
Practice address
908 S WILLIAMSON AVE, ELON, NC 27244-9280
(336) 538-2314
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
01/12/2023
Last updated
09/12/2023
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