Healthcare Provider Details

I. General information

NPI: 1063489870
Provider Name (Legal Business Name): KEVIN ARMSTRONG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 RIVERSIDE DR
SUNSET BEACH NC
28468-4730
US

IV. Provider business mailing address

806 RIVERSIDE DR
SUNSET BEACH NC
28468-4730
US

V. Phone/Fax

Practice location:
  • Phone: 276-698-8151
  • Fax:
Mailing address:
  • Phone: 276-698-8151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0101236102
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: