Provider Demographics
NPI:1972573608
Name:DOYLE, KEVIN M (MD)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:M
Last Name:DOYLE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4600 LAKE BOONE TR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607
Mailing Address - Country:US
Mailing Address - Phone:919-420-2027
Mailing Address - Fax:919-571-8135
Practice Address - Street 1:4600 LAKE BOONE TR
Practice Address - Street 2:SUITE 100
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607
Practice Address - Country:US
Practice Address - Phone:919-420-2027
Practice Address - Fax:919-571-8135
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2024-10-16
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Provider Licenses
StateLicense IDTaxonomies
NC9400047207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC127U2OtherBCBS NC
NC89127U2Medicaid
NCG95049Medicare UPIN
NC127U2OtherBCBS NC