Basic Information
Provider Information
NPI: 1871750703
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BORAWSKI
FirstName: KRISTY
MiddleName: MCKIERNAN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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Mailing Information
Address1: 2113 PHYSICIANS OFFICE BUILDING
Address2: CAMPUS BOX 7235
City: CHAPEL HILL
State: NC
PostalCode: 275990001
CountryCode: US
TelephoneNumber: 9199668217
FaxNumber: 9199660098
Practice Location
Address1: 101 MANNING DRIVE, 2ND FLOOR MAIN HOSPITAL
Address2: UNC UROLOGY CLINIC
City: CHAPEL HILL
State: NC
PostalCode: 27514
CountryCode: US
TelephoneNumber: 9199661316
FaxNumber: 9199665289
Other Information
ProviderEnumerationDate: 05/19/2008
LastUpdateDate: 04/01/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/01/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208800000X117171NCN Allopathic & Osteopathic PhysiciansUrology 
208800000X2009-00516NCY Allopathic & Osteopathic PhysiciansUrology 

No ID Information.


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