Kenneth Scott Shedarowich PA-C

NPI 1134257553 - Physician Assistant - 363AM0700X

NPI Details
NPI 1134257553
Gender Male
Enumeration Date 02/28/2007
Last Updated 06/10/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
PINEHURST NC, 28374-8710, US
Phone (910) 715-2164
Fax (910) 715-1926
Business Location
PO BOX 8500
PINEHURST NC, 28374-8500, US
Phone (910) 715-2164
Fax (951) 302-3431
Taxonomy Code 363AM0700X
License State California
License Number PA13309
Remove 1134257553 NPI Number

According to our database, Mr. Kenneth Scott Shedarowich PA-C NPI is 1134257553, taxonomy code is 363AM0700X and license number is PA13309, license state is located at California. Kenneth Scott Shedarowich PA-C physically located at 155 Memorial Dr, Pinehurst NC, 28374-8710. NPI Number Kenneth Scott Shedarowich PA-C has the Individual type.

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1134257553 NPI number is provided on an as is basis without warranty of any kind. 1134257553 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Scott Shedarowich PA-C are for informational purposes only.