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Individual

LOUIS CHARLES KANDL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
331 N 1ST ST, ALBEMARLE, NC 28001-3904
(704) 982-2189
Mailing address
331 N 1ST ST, ALBEMARLE, NC 28001-3904
(704) 982-2189

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24258
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202360D
MEDICARE PIN, STANLY LOCATION
NC
01
202360E
MEDICARE PIN, WILKES LOCATION
NC
01
2335816
MEDICARE PTAN, CAROLINAS HOSPITALIST GROUP-WILKES
NC
01
47783
BCBS OF NC
NC
05
8947783
NC
01
NC4277A
MEDICARE PTAN, INDIVIDUAL FOR WILKES NETWORK
NC
Enumeration date
02/15/2007
Last updated
02/06/2012
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