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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
NC200000282

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE PTAN2280408NC01
89126T6NC05
Code values:
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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