Individual
KEVIN P SPEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3404 WAKE FOREST RD, STE 201, RALEIGH, NC 27609-7341
(919) 256-1511
(919) 256-1530
Mailing address
3404 WAKE FOREST RD, STE 201, RALEIGH, NC 27609-7341
(919) 256-1511
(919) 256-1530
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
38696
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78713
BCBS
NC
05
—
8978713
—
NC
Enumeration date
05/26/2006
Last updated
08/12/2010
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