Provider Demographics
NPI:1942268131
Name:KAPPELMANN, RICK B (MC)
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:B
Last Name:KAPPELMANN
Suffix:
Gender:M
Credentials:MC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4102 N ROXBORO ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2122
Mailing Address - Country:US
Mailing Address - Phone:919-595-2000
Mailing Address - Fax:919-595-2190
Practice Address - Street 1:4102 N ROXBORO ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2122
Practice Address - Country:US
Practice Address - Phone:919-595-2000
Practice Address - Fax:919-595-2190
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28657207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1960650OtherUHC
NC1960650OtherMAMSI
NCENT38OtherPRIMAHEALTH
NC188080OtherMEDCOST
NC7910964Medicaid
NC10964OtherBCBS NC
NC5517516OtherCIGNA
NC7736004OtherAETNA
NC10964OtherBCBS NC
C87522Medicare UPIN
NC188080OtherMEDCOST