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Robert Kevin Stack, MD
Specialist in Charlotte, North Carolina
NPI 1982795886

Robert Kevin Stack is a Specialist based in Charlotte, NC. Robert Kevin Stack practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for Robert Kevin Stack is 1982795886 and holds a License No. 26989 (North Carolina).

The current practice location address for Robert Kevin Stack is 1928 Randolph Rd Ste 308, Charlotte, NC and can be reached out via phone at 704-333-1363 and via fax at 704-333-6617.

Location: 1928 Randolph Rd Ste 308, Charlotte, NC, 28207-1105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982795886
Provider Name
Robert Kevin Stack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1928 Randolph Rd Ste 308, Charlotte, NC, 28207-1105
Phone Number
704-333-1363
Fax Number
704-333-6617
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8979122 05 NC
institution
Provider Business Practice Location Address Details
Address
1928 Randolph Rd Ste 308
City
Charlotte
State
North Carolina
Zip
28207-1105
Phone Number
704-333-1363
Fax Number
704-333-6617
person
Provider Business Mailing Address Details
Address
1928 Randolph Rd Ste 308
City
Charlotte
State
North Carolina
Zip
28207-1105
Phone Number
704-333-1363
Fax Number
704-333-6617
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
26989 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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