Individual
KRISTIN PATRICIA DIERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
116 E HORTON ST, ZEBULON, NC 27597-2820
(919) 269-2885
(919) 488-1718
Mailing address
260 HORIZON DR, RALEIGH, NC 27615-4922
(919) 488-0015
(919) 277-0066
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2013-02124
NC
2080P0202X
Pediatric Cardiology Physician
2013-02124
NC
Other
Enumeration date
07/02/2008
Last updated
06/08/2016
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