Individual
KEVIN OTUNDO NYABERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 NASH MEDICAL ARTS MALL STE D, ROCKY MOUNT, NC 27804-1470
(252) 451-2700
(252) 451-2702
Mailing address
504 HOPE VALLEY RD, KNIGHTDALE, NC 27545-6767
(919) 637-3524
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024-02979
NC
207Q00000X
Family Medicine Physician
33001
FL
390200000X
Student in an Organized Health Care Education/Training Program
33001
FL
Other
Enumeration date
05/25/2021
Last updated
10/10/2024
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