Kernodle Clinic, Inc-Elon
Organization Active NPI General Practice Physician · Elon, NC
NPI 1821385808 · NPPES record last updated Mar 25, 2013
Key facts
- NPI
- 1821385808
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- KERNODLE CLINIC, INC-ELON
- Practice address
- 908 S Williamson Ave
Elon, NC 27244-9280 - Phone
- (336) 538-2314
- Fax
- (336) 538-2390
- NPI assigned
- Jun 29, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark F Miller, MD
- Title
- President
- Phone
- (336) 538-1234
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
908 S Williamson Ave
Elon, NC 27244-9280
Mailing address
PO Box 1717
Burlington, NC 27216-1717
Phone (336) 538-1234
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All providers in Elon, NC · General Practice 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 Mar 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.