Basic Information
Provider Information
NPI: 1952765497
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DREXLER
FirstName: KATHLEEN
MiddleName: ARIEL
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: 3010 OLD CLINIC BUILDING CB #7516
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275997516
CountryCode: US
TelephoneNumber: 9199661601
FaxNumber:  
Practice Location
Address1: 4420 LAKE BOONE TRL
Address2:  
City: RALEIGH
State: NC
PostalCode: 276077505
CountryCode: US
TelephoneNumber: 9197843100
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/11/2016
LastUpdateDate: 02/07/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/07/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X2020-02129NCN Allopathic & Osteopathic PhysiciansHospitalist 
207V00000X2020-02129NCY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X125.068876ILN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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