Healthcare Provider Details

I. General information

NPI: 1043114556
Provider Name (Legal Business Name): KDA NOBLE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 US HIGHWAY 70 W, SUITE 201
GARNER NC
27529-2501
US

IV. Provider business mailing address

1027 US HIGHWAY 70 W, SUITE 201
GARNER NC
27529-2501
US

V. Phone/Fax

Practice location:
  • Phone: 984-383-1433
  • Fax: 984-297-8771
Mailing address:
  • Phone: 984-383-1433
  • Fax: 984-297-8771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: KRISTIE SPANGLER
Title or Position: OWNER/AGENCY DIRECTOR
Credential: PTA, AOEE
Phone: 984-280-5333