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Individual

DR. KEVIN JAMES KERLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., F.A.C.R.O.

Contact information

Practice address
2802 MCLAMB PL, GOLDSBORO, NC 27534-1600
(919) 734-7265
(919) 734-6421
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
35393
NC
2085R0001X
Radiation Oncology Physician
Primary
35393
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5457621
AETNA
NC
01
7524615
CIGNA
NC
05
8948552
NC
01
P01016591
RAILROAD MEDICARE
NC
Enumeration date
08/08/2006
Last updated
05/03/2012
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