Provider Demographics
NPI:1750310694
Name:COX, KIRSTEN SWANSON (MD)
Entity Type:Individual
Prefix:DR
First Name:KIRSTEN
Middle Name:SWANSON
Last Name:COX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 4066
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27204-4066
Mailing Address - Country:US
Mailing Address - Phone:336-629-6500
Mailing Address - Fax:336-629-6900
Practice Address - Street 1:350 N COX ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203
Practice Address - Country:US
Practice Address - Phone:336-629-6500
Practice Address - Fax:336-629-9500
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-02
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200200287207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891310TMedicaid
H70565Medicare UPIN