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NPI Code Detail

MEDICARE: DR. CATHERINE KELLEY CARNES M.D.

MEDICARE: DR. CATHERINE KELLEY CARNES M.D.
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
1251G00000XCommunity Based Hospice Care Agency149614NC
2207P00000XEmergency Medicine Physician149614NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952561615
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATHERINE KELLEY CARNES M.D.
Provider Business Mailing Address
First Line : 2347 SIMONTON RD
Second Line :
City : STATESVILLE
State : NC
Zip : 28625-8246
Country : US
Telephone Number : 704-375-0100
Fax Number :
Provider Business Practice Location Address
First Line : 2347 SIMONTON RD
Second Line :
City : STATESVILLE
State : NC
Zip : 28625-8246
Country : US
Telephone Number : 704-375-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2008
Last Update Date : 06/19/2020

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