Individual
DEBORAH KESSLER HUDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8311 BANDFORD WAY, SUITE 103, RALEIGH, NC 27615-2756
(919) 845-0333
(919) 845-0773
Mailing address
PO BOX 99717, RALEIGH, NC 27624-9717
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
9800932
NC
207W00000X
Ophthalmology Physician
Primary
9800932
NC
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
9800932
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8911904
—
NC
Enumeration date
09/27/2006
Last updated
02/14/2008
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