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Contact Information

KEVIN C ADDISON, MD
171 FAIRVIEW RD
MOORESVILLE, NC28117-9500
 Phone: 704-660-4390
 Fax: 704-660-4399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for KEVIN C ADDISON · (Male)

NPI Number 1295750651
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2006
Last updated 08/31/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2006-00447
  • VA License # 0101272440
  • NC Medicaid 5904803
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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