Individual
KYLE CARLSEN ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-7093
Mailing address
9405 MILLKIRK CIR, WAKE FOREST, NC 27587-8362
(980) 622-9502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2024-02220
NC
208M00000X
Hospitalist Physician
Primary
2024-02220
NC
Other
Enumeration date
04/20/2021
Last updated
09/30/2024
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