Individual
DR. KEVIN M SPANGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3155 MAPLEWOOD AVENUE, WINSTON SALEM, NC 27103
(336) 794-4372
(336) 659-2379
Mailing address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 970-5000
(336) 659-2379
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
9401050
NC
2085R0202X
Diagnostic Radiology Physician
0101055687
VA
2085R0202X
Diagnostic Radiology Physician
Primary
9401050
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8978511
—
NC
01
—
P00628536
RR MEDICARE
NC
Enumeration date
05/03/2006
Last updated
09/14/2016
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