Kenneth Lee Willeford in Supply - Physical Medicine & Rehabilitation

Kenneth Lee Willeford - NPI 1912917865

Kenneth Lee Willeford is a Physical Medicine & Rehabilitation in Supply, North Carolina. Kenneth Lee Willeford practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Kenneth Lee Willeford is 1912917865. The last update date is 2014-02-13.

Kenneth Lee Willeford's current location address is 10 Doctors Cir, Supply, North Carolina. You can contact this provider via phone number 9107556060 and fax number 9107556061. The mailing address for Kenneth Lee Willeford is 10 Doctors Cir, Supply, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Lee Willeford
Address 10 Doctors Cir, Supply, North Carolina
Phone Number 9107556060
Fax Number 9107556061
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1912917865
Provider Enumeration Date 2006-08-09
Last Updated Date 2014-02-13

Provider Mailing Address Detail

Address 10 Doctors Cir
City Supply
State North Carolina (NC)
Post Code 284624089
Phone Number 9107556060
Fax Number 9107556061

Provider's Primary Taxonomy Detail

Speciality Physical Medicine & Rehabilitation
Taxonomy 208100000X
Licence No 36621
Definition:
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8987642 NC --
016UX NC BCBS NC

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FAQs about Kenneth Lee Willeford

What is the Kenneth Lee Willeford's 1912917865?

The Kenneth Lee Willeford's NPI (National Provider Identifier) Number is 1912917865. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Kenneth Lee Willeford's physical address?

The Kenneth Lee Willeford is physically located at 10 Doctors Cir, in the city of Supply, NC, with the postal code 284624089.

What is Kenneth Lee Willeford's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kenneth Lee Willeford's specialized field of practice is Physical Medicine & Rehabilitation, and the corresponding taxonomy code that categorizes this area of specialization is 208100000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1912917865 to Kenneth Lee Willeford?

The Kenneth Lee Willeford received its 1912917865 assignment from the Centers for Medicare & Medicaid Services on 2006-08-09.

As of what date was the information regarding Kenneth Lee Willeford, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kenneth Lee Willeford, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-02-13.

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