Provider Demographics
NPI:1427641497
Name:REGIONAL MEDICAL ASSOCIATES, PLLC
Entity type:Organization
Organization Name:REGIONAL MEDICAL ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, PLLC/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:KIHM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-471-3351
Mailing Address - Street 1:3811 N ROXBORO ST STE B
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-5800
Mailing Address - Country:US
Mailing Address - Phone:919-471-3351
Mailing Address - Fax:919-471-3313
Practice Address - Street 1:3811 N ROXBORO ST STE B
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-5800
Practice Address - Country:US
Practice Address - Phone:919-471-3351
Practice Address - Fax:919-471-3313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty