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NPI Code Detail

MEDICARE: DR. PETER J KRAGEL MD

MEDICARE:  DR. PETER J KRAGEL  MD
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician9800600NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1220023247OTHERNCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31118JOTHERNCBCBS NC

General Provider Information

NPI Number : 1588656821
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER J KRAGEL MD
Provider Business Mailing Address
First Line : PO BOX 3898
Second Line :
City : WILSON
State : NC
Zip : 27895-3898
Country : US
Telephone Number : 252-234-2841
Fax Number :
Provider Business Practice Location Address
First Line : 2693 FOREST HILLS RD SW STE B
Second Line :
City : WILSON
State : NC
Zip : 27893-8611
Country : US
Telephone Number : 252-234-2841
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 12/15/2025

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Directions to “ DR. PETER J KRAGEL MD” Practice Location

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