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KRISTEN MARIE REZAK MD NPI 1801086905


NPI Information

NPI: 1801086905
Provider Name: KRISTEN MARIE REZAK, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Organization: PRIVATE DIAGNOSTIC CLINIC, PLLC

PECOS Registration: Yes

Address:
3404 WAKE FOREST RD
RALEIGH, NC
ZIP 27609
Phone: (919) 668-0261
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Kristen Marie Rezak, MD is a plastic and reconstructive surgery surgery in Raleigh, NC with 23 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Kristen Marie Rezak, MD NPI is 1801086905. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3404 WAKE FOREST RD
RALEIGH, NC
ZIP 27609-340
Phone: (919) 668-0261

The NPI 1801086905 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 12/7/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive Surgery239581NEW YORKNo
22086S0122XSurgeryPlastic and Reconstructive Surgery2012-00504NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.