Provider Demographics
NPI:1588849319
Name:NEKL, CASEY GUY (MD)
Entity Type:Individual
Prefix:DR
First Name:CASEY
Middle Name:GUY
Last Name:NEKL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1134 N ROAD ST STE 2
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-3365
Mailing Address - Country:US
Mailing Address - Phone:252-384-2770
Mailing Address - Fax:252-679-7673
Practice Address - Street 1:1134 N ROAD ST STE 2
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-3365
Practice Address - Country:US
Practice Address - Phone:252-384-2770
Practice Address - Fax:252-679-7673
Is Sole Proprietor?:No
Enumeration Date:2007-12-28
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC129181207Y00000X
NC2010-01971207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC52145BMedicare UPIN