Richard Krumdieck
Hematology & Oncology
170 Medical Park Road Ste 101
Mooresville
, North Carolina 28117-8524
Richard Krumdieck
Hematology & Oncology
170 Medical Park Road Ste 101
Mooresville
, North Carolina 28117-8524
(704) 799-3956
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Richard Krumdieck
- 170 Medical Park Rd Ste 101
- Mooresville, NC
- Zip : 28117-8540
- Fax : (704) 799-3956
- Phone : (704) 799-3946
Second Address
- Richard Krumdieck
- 170 Medical Park Road Ste 101
- Mooresville, NC
- Zip : 28117-8524
- Fax : (704) 799-3956
- Phone : (704) 799-3946
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | 9701019 | NC |
National Provider Identifier
| NPI | 1063415669 |
|---|---|
| Provider Name | Richard Krumdieck |
| First Address | Mooresville, NC 28117-8540 |
| Second Address | Mooresville, NC 28117-8524 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/05/2005 |
| Last Update Date | 18/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10907 | BCBS (01) | |
| 8910907 | (05) | NC |
| E20805 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.