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Individual

KIRK A HOWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 442-1100
(910) 442-1199
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 873-9533

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33681
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2140454D
MEDICARE PTAN
NC
01
2140454F
MEDICARE PTAN
NC
05
8944175
NC
01
P00844861
MEDICARE RAILROAD
NC
05
Q33681
SC
Enumeration date
06/21/2005
Last updated
12/16/2014
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