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Individual

KURT GERARD VERNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
904 W BROAD ST STE D, DUNN, NC 28334-4147
(910) 891-5808
(910) 891-5323
Mailing address
3412 BIRK BLUFF CT, CARY, NC 27511-8224
(910) 891-5808
(910) 891-5323

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9501139
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
84580
MEDCOST
NC
01
85016
BLUE CROSS BLUE SHIELD NC
NC
05
8985016
NC
Enumeration date
04/26/2006
Last updated
05/30/2023
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