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NPI 1386561561 Active Internal Medicine

Quick Facts

NPI Number

1386561561

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2026-06-30

Last Updated (NPPES)

2026-06-30

Primary Specialty / Taxonomy

Taxonomy	Internal Medicine
Taxonomy Code	`207R00000X`

Other Taxonomies

Nurse Practitioner

Practice Address

907 CUNNINGHAM RD
KINSTON, NC 285011825

Phone: 800-807-6555

Fax: 855-316-2999

Mailing Address

805 N WHITTINGTON PKWY STE 400
LOUISVILLE, KY 402227102

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.