Healthcare Provider Details

I. General information

NPI: 1720056179
Provider Name (Legal Business Name): MICHAEL DAVID KAPPELMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 07/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

PO BOX 7229 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
CHAPEL HILL NC
27599-7229
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-1343
  • Fax: 919-966-8641
Mailing address:
  • Phone: 919-966-1343
  • Fax: 919-966-8641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number219590
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number219590
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: