Lysle Kennedy Ailstock in Greenville - Body Imaging

Lysle Kennedy Ailstock - NPI 1912989898

Lysle Kennedy Ailstock is a Body Imaging in Greenville, North Carolina. Lysle Kennedy Ailstock practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Lysle Kennedy Ailstock is 1912989898. The last update date is 2022-04-27.

Lysle Kennedy Ailstock's current location address is Po Box 30750, Greenville, North Carolina. You can contact this provider via phone number 2527525000 and fax number 2529317694. The mailing address for Lysle Kennedy Ailstock is Po Box 30750, Greenville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Lysle Kennedy Ailstock
Address Po Box 30750, Greenville, North Carolina
Phone Number 2527525000
Fax Number 2529317694
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1912989898
Provider Enumeration Date 2005-11-16
Last Updated Date 2022-04-27

Provider Mailing Address Detail

Address Po Box 30750
City Greenville
State North Carolina (NC)
Post Code 278330750
Phone Number 2527525000
Fax Number 2529317694

Provider's Primary Taxonomy Detail

Speciality Body Imaging
Taxonomy 2085B0100X
Licence No 9600437
Definition:
A Radiology doctor of Osteopathy that specializes in Body Imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8910461 NC --
10461 NC BCBSNC

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FAQs about Lysle Kennedy Ailstock

What is the unique identifier code issued to Lysle Kennedy Ailstock by the Centers for Medicare & Medicaid Services (CMS)?

The Lysle Kennedy Ailstock has been assigned the NPI (National Provider Identifier) 1912989898. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Lysle Kennedy Ailstock's physical address?

The Lysle Kennedy Ailstock is physically located at Po Box 30750, in the city of Greenville, NC, with the postal code 278330750.

What is the area of specialization for Lysle Kennedy Ailstock, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lysle Kennedy Ailstock is Body Imaging, and the corresponding taxonomy code that categorizes this area of expertise is 2085B0100X.

When did the Lysle Kennedy Ailstock receive its 1912989898?

The Lysle Kennedy Ailstock was issued its 1912989898 on 2005-11-16, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Lysle Kennedy Ailstock most recently updated or revised?

The information pertaining to Lysle Kennedy Ailstock, including its address, specialty, and other relevant details, was last updated or revised on 2022-04-27.

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