Healthcare Provider Details

I. General information

NPI: 1881618734
Provider Name (Legal Business Name): KENDALL KAY GARING M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 09/30/2024
Certification Date: 03/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

364 WHITE OAK ST QUANTUM HEALTH GROUP/RANDOLPH HOSPITAL
ASHEBORO NC
27203-5434
US

IV. Provider business mailing address

364 WHITE OAK ST QUANTUM HEALTH GROUP/RANDOLPH HOSPITAL
ASHEBORO NC
27203-5434
US

V. Phone/Fax

Practice location:
  • Phone: 336-625-5151
  • Fax:
Mailing address:
  • Phone: 336-625-5151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2006-00941
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License Number2006-00941
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: