Addison, Kevin C

Addison, Kevin C is an individual health care provider with primary practice located at 171 Fairview Rd , Mooresville NC 28117-9500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Addison, Kevin C can be contacted via phone (704) 660-4390.

Contact Information

Primary practice address
171 Fairview Rd Mooresville NC 28117-9500
Phone: (704) 660-4390
Fax: (704) 660-4399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101272440 Virginia
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 2006-00447 North Carolina

Profile Details

NPI number 1295750651
LBN Legal business name Addison, Kevin C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Aug 31st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295750651 NPPES
North Carolina MEDICAID 5904803

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