Birendra KC, MD

Hematology & Oncology Physician · St Augustine, FL

Individual Active NPI

NPI number 1922207547

Practice location

9 San Bartola Dr
St Augustine, FL 32086-5767
Phone
(904) 825-4500
Fax
(904) 825-3672

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NPI record

NPI
1922207547
Entity type
Individual (Type 1)
Enumeration date
July 13, 2007
Last updated
October 29, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Hematology & Oncology Physician Primary 207RH0003X ME140216 FL
Internal Medicine Physician 207R00000X 2016-00813 NC

Mailing address

7015 a C Skinner Pkwy Ste 1
Jacksonville, FL 32256-6932
Phone
(904) 363-2113
Fax
(904) 363-2606

Other practice locations (1)

  • 1550 Faulk St, Monroe, NC 28112-5086 · (980) 442-0430

About Dr. KC

Birendra KC, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Hematology & Oncology Physician (code 207RH0003X). The practice location is 9 San Bartola Dr, St Augustine, FL 32086-5767. The NPI number 1922207547 was assigned on July 13, 2007 and the record was last updated on October 29, 2019.

Dr. KC lists 2 licenses in the registry: #ME140216 (FL) for Hematology & Oncology Physician; #2016-00813 (NC) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Birendra KC, MD?

The NPI number is 1922207547.

What is the phone number of Dr. KC?

The phone number listed for the practice location is (904) 825-4500.

Where is Dr. KC located?

9 San Bartola Dr, St Augustine, FL 32086-5767.

What is the taxonomy code for Dr. KC?

The primary taxonomy code is 207RH0003X – Hematology & Oncology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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