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Individual

LEONARDO KAPURAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
145 KIMEL PARK DR STE 330, WINSTON SALEM, NC 27103-6972
(336) 765-6181
(336) 765-8492
Mailing address
145 KIMEL PARK DR, SUITE 330, WINSTON SALEM, NC 27103-6984
(336) 765-6181
(336) 765-8492

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2010-01036
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
159RP
BCBS OF NC
NC
05
5915460
NC
Enumeration date
09/14/2006
Last updated
09/09/2020
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