KENNETH WILLIAM MYERS M.D.
Allergy and Immunology
Wilmington, North Carolina
Provider NPI: 1538159777
Provider Information:KENNETH WILLIAM MYERS M.D.
Practice Location:
1017 ASHES DR SUITE 206 WILMINGTON, NC 28405 US
Tel: 910-239-9584 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207K00000X | Physicians Allergy & Immunology | NC | 200000282 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICARE PTAN | 2280408 | NC | 01 |
| 89126T6 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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