Individual ProviderKiernan Thomas DeangelisEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address800 Tilghman Dr, Dunn, NC 28334-5510(910) 891-6000(443) 386-3759PECOS EnrollmentBased on the most recent information from CMS, provider Kiernan Thomas Deangelis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1215038781Provider TypeIndividualFull NameDeangelis, Kiernan ThomasCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date9/26/2006Last Updated7/6/2012Contact InformationPractice LocationPractice Address800 Tilghman Dr, Dunn, NC 28334-5510Phone(910) 891-6000FaxUnlisted FaxMailing LocationMailing Address5132 Linksland Dr, Holly Springs, NC 27540-9154Phone(443) 386-3759FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense2006-01588North Carolina