Individual
DR. JUSTIN R KAUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3009 NEW BERN AVE, RALEIGH, NC 27610-1214
(919) 232-5020
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
133967
NC
207X00000X
Orthopaedic Surgery Physician
2016-00165
NC
207XX0801X
Orthopaedic Trauma Physician
036130778
IL
207XX0801X
Orthopaedic Trauma Physician
13999
NV
207XX0801X
Orthopaedic Trauma Physician
Primary
2016-00165
NC
207XX0801X
Orthopaedic Trauma Physician
Q2000
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130778
—
IL
05
—
1710108618
—
NC
05
—
200557440
—
OK
05
—
PENDING
—
TX
Enumeration date
05/01/2007
Last updated
02/09/2022
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