Randy M. Kiriluk MD

NPI 1639100191 - Family Medicine - 207Q00000X

NPI Details
NPI 1639100191
Gender Male
Enumeration Date 07/05/2006
Last Updated 09/16/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
106 TABOR CROSSING
TABOR CITY NC, 28463, US
Phone (910) 653-6610
Fax (910) 653-6606
Business Location
30000 COUNTY LINE RD
WESLEY CHAPEL FL, 33543-6707, US
Phone (813) 907-8430
Fax (910) 653-6606
Toxanomy
Taxonomy Code 207Q00000X
License State North Carolina
License Number 200801162
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According to our database, Randy M. Kiriluk MD NPI is 1639100191, taxonomy code is 207Q00000X and license number is 200801162, license state is located at North Carolina. Randy M. Kiriluk MD physically located at 106 Tabor Crossing, Tabor City NC, 28463. NPI Number Randy M. Kiriluk MD has the Individual type.

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1639100191 NPI number is provided on an as is basis without warranty of any kind. 1639100191 is maintained by the National Plan & Provider Enumeration System. The contents of Randy M. Kiriluk MD are for informational purposes only.