Provider Demographics
NPI:1881618734
Name:GARING, KENDALL KAY (MD)
Entity type:Individual
Prefix:
First Name:KENDALL
Middle Name:KAY
Last Name:GARING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:364 WHITE OAK ST
Mailing Address - Street 2:QUANTUM HEALTH GROUP/RANDOLPH HOSPITAL
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-5434
Mailing Address - Country:US
Mailing Address - Phone:336-625-5151
Mailing Address - Fax:
Practice Address - Street 1:364 WHITE OAK ST
Practice Address - Street 2:QUANTUM HEALTH GROUP/RANDOLPH HOSPITAL
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5434
Practice Address - Country:US
Practice Address - Phone:336-625-5151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2006-00941202C00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5905942Medicaid
NC2006-00941OtherMEDICAL BOARD
NC2056377Medicare PIN
NC2056377AMedicare PIN
NCI61507Medicare UPIN
NC2006-00941OtherMEDICAL BOARD