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NPI Code Detail

MEDICARE: DR. KEVIN RAJAN KURIAN PHD

MEDICARE: DR. KEVIN RAJAN KURIAN PHD
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
1103T00000XPsychologist6101NC
2103TF0200XForensic Psychologist37575TX
3103TC0700XClinical Psychologist37575TX
4103T00000XPsychologist1764SC
5103TC0700XClinical Psychologist6101NC

General Provider Information

NPI Number : 1841546041
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN RAJAN KURIAN PHD
Provider Business Mailing Address
First Line : 15801 BRIXHAM HILL AVE STE 475
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-0878
Country : US
Telephone Number : 704-251-9084
Fax Number : 877-513-7720
Provider Business Practice Location Address
First Line : 15801 BRIXHAM HILL AVE STE 475
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-0878
Country : US
Telephone Number : 704-251-9084
Fax Number : 877-513-7720
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2012
Last Update Date : 10/24/2025

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