| Kernodle Clinic-elon | |
|
908 S Williamson Ave Elon NC 27244-9280 | |
| (336) 538-2314 | |
| Not Available |
| Full Name | Kernodle Clinic-elon |
|---|---|
| Speciality | Internal Medicine |
| Location | 908 S Williamson Ave, Elon, North Carolina |
| Authorized Official Name and Position | Paul R Newman (EXECUTIVE DIRECTOR, PDC) |
| Authorized Official Contact | 9196137652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kernodle Clinic-elon Po Box 110566 Durham NC 27709-5566 Ph: (919) 620-4855 | Kernodle Clinic-elon 908 S Williamson Ave Elon NC 27244-9280 Ph: (336) 538-2314 |
| NPI Number | 1902147440 |
|---|---|
| Provider Enumeration Date | 03/08/2013 |
| Last Update Date | 07/11/2022 |
| Medicare PECOS PAC ID | 1355254368 |
|---|---|
| Medicare Enrollment ID | O20160316002743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902147440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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Kernodle Clinic Elon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 908 S Williamson Ave, Elon, NC 27244 Phone: 336-538-2314 | |
The Moses H. Cone Memorial Hospital Operating Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 S O'kelly Ave, Elon, NC 27244 Phone: 336-278-7230 Fax: 336-538-6506 | |
Kernodle Clinic, Inc-elon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 908 S Williamson Ave, Elon, NC 27244 Phone: 336-538-2314 Fax: 336-538-2390 |