Individual
CHAD KLOEFKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1706 HAMPTON BLVD APT 2, NORFOLK, VA 23517-1625
(919) 345-0778
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-8383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10049211
TX
208000000X
Pediatrics Physician
BP10049211
TX
208M00000X
Hospitalist Physician
Primary
2017-02242
NC
Other
Enumeration date
04/09/2014
Last updated
02/05/2019
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