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NPI Code Detail

MEDICARE: KRISTIN STANKEVITZ PA-C

MEDICARE: KRISTIN STANKEVITZ PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant0010-06950NC

General Provider Information

NPI Number : 1417493008
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN STANKEVITZ PA-C
Provider Business Mailing Address
First Line : 704 CONSTITUTION DR UNIT D
Second Line :
City : DURHAM
State : NC
Zip : 27705-7500
Country : US
Telephone Number : 920-639-0421
Fax Number :
Provider Business Practice Location Address
First Line : 1728 FORDHAM BLVD
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-2397
Country : US
Telephone Number : 919-968-1985
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2017
Last Update Date : 01/06/2017

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Directions to “ KRISTIN STANKEVITZ PA-C” Practice Location

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