Individual
MICHELE MARIE KERBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2555 COURT DR, SUITE 250, GASTONIA, NC 28054-2134
(704) 671-7370
(704) 854-3086
Mailing address
2240 REMOUNT RD, GASTONIA, NC 28054-4725
(704) 671-5311
(704) 671-5308
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2006-01525
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905055
—
NC
05
—
N0152A
—
SC
Enumeration date
09/25/2006
Last updated
03/01/2010
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