Individual
DR. EVAN P KARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12820 LINDLEY DRIVE, CREDENTIALING/PAYER CONTRACTING SERVICES, RALEIGH, NC 27614
(919) 616-1552
Mailing address
12820 LINDLEY DRIVE, CREDENTIALING/PAYER CONTRACTING SERVICES, RALEIGH, NC 27614
(919) 616-1552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39834
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12362121
CAQH
—
05
—
894780A
—
NC
Enumeration date
04/07/2006
Last updated
06/26/2018
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