Provider Demographics
NPI:1043471444
Name:KIHLSTROM, MARGARET JACKSON (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:JACKSON
Last Name:KIHLSTROM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MANNING DR
Mailing Address - Street 2:ROOM 1107G WEST WING
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-4220
Mailing Address - Country:US
Mailing Address - Phone:919-843-0014
Mailing Address - Fax:919-966-0290
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:ROOM 1107G WEST WING
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:919-843-0014
Practice Address - Fax:919-966-0290
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC148767390200000X
NC2011-00076282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program