Individual
DR. MICHAEL KERMIT NUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36123
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63629
BCBS OF NC
NC
05
—
8963605
—
NC
Enumeration date
06/16/2006
Last updated
08/22/2007
Update your record
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