Provider Demographics
NPI:1841235397
Name:KRISEL, CHAD SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:SCOTT
Last Name:KRISEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:372 DEPOT ST
Mailing Address - Street 2:SUITE 10
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4366
Mailing Address - Country:US
Mailing Address - Phone:828-367-7372
Mailing Address - Fax:828-575-2298
Practice Address - Street 1:372 DEPOT ST
Practice Address - Street 2:SUITE 10
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4366
Practice Address - Country:US
Practice Address - Phone:828-367-7372
Practice Address - Fax:828-575-2298
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2012-12-03
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Provider Licenses
StateLicense IDTaxonomies
NC2007-01951207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2007-01951OtherLICENSE