Individual
DR. KEVIN M SUPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 NORTHLINE AVE, SUITE 200, GREENSBORO, NC 27408-7616
(336) 545-5000
(336) 545-5020
Mailing address
PO BOX 38008, GREENSBORO, NC 27438-8008
(336) 545-5000
(336) 545-5020
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
36604
NC
207X00000X
Orthopaedic Surgery Physician
36604
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
36604
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8981007
—
NC
Enumeration date
08/10/2005
Last updated
02/24/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us