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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KODIAK MEDICAL PA

Active Organization

KODIAK MEDICAL PA is a Family Medicine organization located in CHARLOTTE, North Carolina. NPI 1134872252 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CHARLOTTE, NC

Registration Details

NPI Number
1134872252
Provider Type
Organization
NPI Issued
Jan 28, 2022 (4.5382992299256 yrs)
Last Updated
May 20, 2022

Practice Information

Address
10926 DAVID TAYLOR DR STE 120-105
CHARLOTTE, NC, 282621293
Browse NC providers · Browse ZIP 28262
Phone
8885664201
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.