Individual
CHRISTIAN RANDOLPH KOERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNS-AG
Contact information
Practice address
7940 SUMTER RIDGE LN APT 5110, RALEIGH, NC 27617-6734
(910) 805-0306
Mailing address
7940 SUMTER RIDGE LN APT 5110, RALEIGH, NC 27617-6734
(919) 400-5011
(919) 400-5809
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
303322
NC
364S00000X
Clinical Nurse Specialist
Primary
547
NC
Other
Enumeration date
08/24/2019
Last updated
07/31/2023
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