Provider Demographics
NPI:1598795635
Name:ALLABOUN, KADRY R (MD)
Entity Type:Individual
Prefix:
First Name:KADRY
Middle Name:R
Last Name:ALLABOUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 S STERLING ST STE 330
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-4093
Mailing Address - Country:US
Mailing Address - Phone:828-580-8100
Mailing Address - Fax:828-580-8101
Practice Address - Street 1:2209 S STERLING ST STE 330
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-4093
Practice Address - Country:US
Practice Address - Phone:828-580-8100
Practice Address - Fax:828-580-8101
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-011702084N0402X
FLME95806208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1598795635Medicaid
NC1598795635Medicaid
KSKA1398023Medicare PIN