Kenneth Douglas Shank, DO | |
815 N 3rd St, Albemarle, NC 28001-3403 | |
(704) 983-3508 | |
(704) 983-3509 |
Full Name | Kenneth Douglas Shank |
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Gender | Male |
Speciality | Family Medicine |
Location | 815 N 3rd St, Albemarle, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083695159 | NPI | - | NPPES |
89132T2 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 109181 (North Carolina) | Primary |
Entity Name | Med First Immediate Care & Family Practice Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053503763 PECOS PAC ID: 0446332720 Enrollment ID: O20080124000674 |
Mailing Address | Practice Location Address |
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Kenneth Douglas Shank, DO 815 N 3rd St, Albemarle, NC 28001-3403 Ph: (704) 983-3508 | Kenneth Douglas Shank, DO 815 N 3rd St, Albemarle, NC 28001-3403 Ph: (704) 983-3508 |
Carl Robert Nordstrom, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 739 E Oakwood Ave, Albemarle, NC 28001 Phone: 704-550-5860 | |
Richard Vernon Liles Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 220 Yadkin St, Community Care Clinic, Albemarle, NC 28001 Phone: 704-984-2300 Fax: 704-984-4671 | |
Raghava Reddy Induru, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 945 N 5th St, Albemarle, NC 28001 Phone: 980-323-7790 | |
Christina Adams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Yadkin St, Suite 301, Albemarle, NC 28001 Phone: 704-982-9144 | |
Joseph K Hunter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Yadkin St, Ste 301, Albemarle, NC 28001 Phone: 980-323-5360 | |
Edward A Kepp, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 232 Concord Rd, Albemarle, NC 28001 Phone: 704-986-3900 Fax: 704-986-3913 |