| Kent Seitz Md Pa | |
|
1421 Orchard Lake Drive Suite C Charlotte NC 28270-9998 | |
| (704) 844-0181 | |
| (904) 701-6279 |
| Full Name | Kent Seitz Md Pa |
|---|---|
| Speciality | General Practice |
| Location | 1421 Orchard Lake Drive, Charlotte, North Carolina |
| Authorized Official Name and Position | Kent Seitz (OWNER/PRESIDENT) |
| Authorized Official Contact | 7048440181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kent Seitz Md Pa 1421 Orchard Lake Drive Suite C Charlotte NC 28270-9998 Ph: (704) 844-0181 | Kent Seitz Md Pa 1421 Orchard Lake Drive Suite C Charlotte NC 28270-9998 Ph: (704) 844-0181 |
| NPI Number | 1013210517 |
|---|---|
| Provider Enumeration Date | 12/06/2010 |
| Last Update Date | 09/11/2015 |
| Medicare PECOS PAC ID | 8224214218 |
|---|---|
| Medicare Enrollment ID | O20110509000211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013210517 | NPI | - | NPPES |
| 5914829 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Kent Seitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467469320 PECOS PAC ID: 4587633847 Enrollment ID: I20110509000349 |
| Provider Name | Marta M Kalinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528249257 PECOS PAC ID: 4385807437 Enrollment ID: I20120529000608 |
| Provider Name | Jennifer Curran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417481870 PECOS PAC ID: 7911252291 Enrollment ID: I20180611002217 |
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