Kenneth Edward Bodek in Winston Salem - Cardiovascular Disease
Kenneth Edward Bodek - NPI 1871587923
Kenneth Edward Bodek is a Cardiovascular Disease in Winston Salem, North Carolina. Kenneth Edward Bodek practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Kenneth Edward Bodek is 1871587923. The last update date is 2023-11-15.
Kenneth Edward Bodek's current location address is 186 Kimel Park Dr, Winston Salem, North Carolina. You can contact this provider via phone number 3362772000 and fax number 3362772050. The mailing address for Kenneth Edward Bodek is 186 Kimel Park Dr, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Edward Bodek |
|---|---|
| Address | 186 Kimel Park Dr, Winston Salem, North Carolina |
| Phone Number | 3362772000 |
| Fax Number | 3362772050 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1871587923 |
|---|---|
| Provider Enumeration Date | 2005-09-06 |
| Last Updated Date | 2023-11-15 |
Provider Mailing Address Detail
| Address | 186 Kimel Park Dr |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271036946 |
| Phone Number | 3362772000 |
| Fax Number | 3362772050 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 2013-01642 |
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Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 247330000000000 | PA | MEDICARE | |
| 12804190005 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenneth Edward Bodek by the Centers for Medicare & Medicaid Services?
The Kenneth Edward Bodek has been assigned the NPI (National Provider Identifier) 1871587923 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kenneth Edward Bodek is located?
The Kenneth Edward Bodek is situated at the following address: 186 Kimel Park Dr, Winston Salem, NC, 271036946.
What is the Kenneth Edward Bodek's specialty and taxonomy code?
The Kenneth Edward Bodek's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.
On what date did the Kenneth Edward Bodek receive its 1871587923 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Edward Bodek was assigned its 1871587923 by the Centers for Medicare & Medicaid Services on 2005-09-06.
As of what date were the details related to Kenneth Edward Bodek most recently updated or revised?
The information pertaining to Kenneth Edward Bodek, including its address, specialty, and other relevant details, was last updated or revised on 2023-11-15.