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Individual

KAI ALEXANDER STANDIFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
179 HOSPITAL DR, SPRUCE PINE, NC 28777-3035
(828) 765-0110
Mailing address
14 LEIGHTON CT, SIMPSONVILLE, SC 29680-7049

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/07/2025
Last updated
01/07/2025
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