SearchNorth Carolina363LP2300X

Kirby Bandoquillo, NP

NPI 1598150195 · on the registry since 2015

Practice

Address
135 W 10th St
Charlotte, NC 28202
Phone
(704) 626-3994
Organisation at this address
Reserve Health, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina