Kenneth Russell Manning M.D.

NPI 1003870171 - Internal Medicine - 207RX0202X

NPI Details
NPI 1003870171
Gender Male
Enumeration Date 04/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1638 OWEN DR
FAYETTEVILLE NC, 28304-3424, US
Phone (910) 609-6910
Fax (910) 609-5219
Business Location
PO BOX 42935
FAYETTEVILLE NC, 28309-2935, US
Phone (910) 609-6910
Fax (910) 609-5219
Toxanomy
Taxonomy Code 207RX0202X
License State North Carolina
License Number 32779
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According to our database, Kenneth Russell Manning M.D. NPI is 1003870171, taxonomy code is 207RX0202X and license number is 32779, license state is located at North Carolina. Kenneth Russell Manning M.D. physically located at 1638 Owen Dr, Fayetteville NC, 28304-3424. NPI Number Kenneth Russell Manning M.D. has the Individual type.

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1003870171 NPI number is provided on an as is basis without warranty of any kind. 1003870171 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Russell Manning M.D. are for informational purposes only.