IndividualActive
Kevin Supple, MD
NPI 1326049412 · Sports Medicine (Orthopaedic Surgery) Physician · Greensboro, NC
Provider details
- NPI number
- 1326049412
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 36604 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Allopathic & Osteopathic Physicians
Practice location
3200 Northline Ave
Suite 200
Greensboro, NC 27408-7616
Phone: (336) 545-5000
Fax: (336) 545-5020
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 38008
Greensboro, NC 27438-8008
Registry dates
- Enumerated
- 2005-08-10
- Last updated
- 2022-02-24
- Certified
- 2022-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.