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Organization

DUKE HEALTH INTEGRATED PRACTICE, INC.

Active
Parent organization
DUKE HEALTH INTEGRATED PRACTICE, INC.
Other names
Kernodle Clinic West
Organization subpart
Yes

Provider details

NPI number
Legal business name
DUKE HEALTH INTEGRATED PRACTICE, INC.
Authorized official
JOHN STUART SMITH (VP FINANCE)
(919) 620-4855
Entity
Organization

Contact information

Practice address
1234 HUFFMAN MILL RD, BURLINGTON, NC 27215-8700
(336) 538-1234
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RS0010X
Sports Medicine (Internal Medicine) Physician
207X00000X
Orthopaedic Surgery Physician

Other

Enumeration date
01/12/2023
Last updated
09/12/2023
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