Kenneth Douglas Shank DO

NPI 1083695159 - Family Medicine - 207Q00000X

NPI Details
NPI 1083695159
Gender Male
Enumeration Date 11/07/2005
Last Updated 02/04/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
815 N 3RD ST
ALBEMARLE NC, 28001-3403, US
Phone (704) 983-3508
Fax (704) 983-3509
Business Location
815 N 3RD ST
ALBEMARLE NC, 28001-3403, US
Phone (704) 983-3508
Fax (704) 983-3509
Toxanomy
Taxonomy Code 207Q00000X
License State North Carolina
License Number 109181
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According to our database, Kenneth Douglas Shank DO NPI is 1083695159, taxonomy code is 207Q00000X and license number is 109181, license state is located at North Carolina. Kenneth Douglas Shank DO physically located at 815 N 3rd St, Albemarle NC, 28001-3403. NPI Number Kenneth Douglas Shank DO has the Individual type.

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1083695159 NPI number is provided on an as is basis without warranty of any kind. 1083695159 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Douglas Shank DO are for informational purposes only.