Individual
DR. KATHLEEN V PREVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 MOYE BLVD, ECU PHYSICIANS PEDIATRICS, GREENVILLE, NC 27834-4300
(252) 744-2335
(252) 744-3811
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9801024
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1149R
BCBS NC
NC
01
—
370011697
RAILROAD MEDICARE
NC
05
—
891149R
—
NC
Enumeration date
09/20/2005
Last updated
12/06/2011
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