Organization
KINSTON CARDIOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN N KIROLLOS MD (PRESIDENT)
(252) 523-6000
Entity
Organization
Contact information
Practice address
2503 N QUEEN STREET, KINSTON, NC 28501
(252) 523-6000
(252) 527-8500
Mailing address
PO BOX 5455, KINSTON, NC 28503-5455
(252) 523-6000
(252) 527-8500
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36551
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2337436
PLAN
NC
Enumeration date
12/04/2007
Last updated
12/04/2007
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