Provider Demographics
NPI:1982868865
Name:KOBERLEIN, JUNELL CAROL (MD)
Entity Type:Individual
Prefix:DR
First Name:JUNELL
Middle Name:CAROL
Last Name:KOBERLEIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1818 RICHARDSON DR
Mailing Address - Street 2:STE. A
Mailing Address - City:REIDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27320-5451
Mailing Address - Country:US
Mailing Address - Phone:336-349-5040
Mailing Address - Fax:336-368-5368
Practice Address - Street 1:1818 RICHARDSON DR
Practice Address - Street 2:STE. A
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-5451
Practice Address - Country:US
Practice Address - Phone:336-349-5040
Practice Address - Fax:336-368-5368
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2014-08-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301092909207Q00000X
NC2014-01439207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine