Individual
KIARA SIMONE EILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
809 SPRING FOREST RD, SUITE 100, RALEIGH, NC 27609-9700
(919) 803-4268
(919) 977-1381
Mailing address
809 SPRING FOREST RD, SUITE 100, RALEIGH, NC 27609-9700
(919) 803-4268
(919) 977-1381
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36330
NC
208D00000X
General Practice Physician
36330
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23469
BLUE CROSS
NC
05
—
8923469
—
NC
Enumeration date
02/17/2006
Last updated
10/20/2016
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