Individual
MR. KEVIN DAVID COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 681-1779
(919) 684-6529
Mailing address
PO BOX 3943, DURHAM, NC 27710-0001
(919) 681-1779
(919) 684-6529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193085
NC
363LF0000X
Family Nurse Practitioner
Primary
5005374
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417232018
CHAMPUS/TRICARE/HEALTHNET #: 1417232018
NC
05
—
70060
—
NC
Enumeration date
10/14/2011
Last updated
09/06/2013
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