Individual
KISAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1240 HUFFMAN MILL RD, BURLINGTON, NC 27215-8700
(336) 538-7179
Mailing address
203 BARKSDALE DR APT K, CHAPEL HILL, NC 27516-0408
(847) 494-2746
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
290571
NC
367500000X
Certified Registered Nurse Anesthetist
290571
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6422
NC
367500000X
Certified Registered Nurse Anesthetist
891857
NC
Other
Enumeration date
07/22/2020
Last updated
11/07/2022
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