Individual
DR. KEVIN DAVID KEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1984 S 16TH ST STE 1, WILMINGTON, NC 28401-6674
(910) 452-8633
(901) 452-8569
Mailing address
PO BOX 15109, WILMINGTON, NC 28408-5109
(910) 392-2525
(910) 392-2827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023-02548
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841308277
—
NC
01
—
NNT761A
MEDICARE
NC
Enumeration date
08/27/2006
Last updated
05/11/2026
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