Kidzcare Pediatrics, PC
Organization Active NPI Pediatrics Physician · Fuquay Varina, NC
NPI 1043765183 · NPPES record last updated Aug 27, 2021
Key facts
- NPI
- 1043765183
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 200101222 (NC)
- Legal business name
- KIDZCARE PEDIATRICS, PC
- Practice address
- 609 Attain St
Suite 181
Fuquay Varina, NC 27526-1979 - Phone
- (919) 557-5433
- Fax
- (919) 557-6279
- NPI assigned
- Aug 18, 2016
- Organization subpart
- No
Authorized official
- Name
- Rebecca E Wright, MD
- Title
- Credentials, Business Development
- Phone
- (910) 483-7337
Corporate family (same tax ID) 27
Practitioners 2
-
Kanaka Durga Alahari, M.D.
-
Nataliya Yatsenko, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2115967 | Kidzcare Pediatrics, PC | Certificate of waiver | Jul 14, 2028 |
National Provider Directory
- Tax ID family
- Kidzcare Pediatrics PC
Locations
5617 Ramsey St
Fayetteville, NC 28311
Phone (910) 423-7337
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | 200101222 | NC | Yes |
Addresses
Primary practice location
609 Attain St
Suite 181
Fuquay Varina, NC 27526-1979
Mailing address
5617 Ramsey St
Attn: Rebecca Wright
Fayetteville, NC 28311-1423
Phone (910) 483-7337
Other providers in Fuquay Varina, NC
- Kerr Drug Inc
- Mary C Kerwin
- Kidspeace National Centers of North America, Inc.
- Kidspeace National Centers of North America, Inc.
- Kidspeace National Centers of North America, Inc.
- Saejin Kim
- Thiongo Kimani
- Jillian Watlington Kindle
- Emily Brown King
- Joshua King
All providers in Fuquay Varina, NC · Pediatrics Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.