| Kinston Neuroscience, Inc | |
|
1100 Hardee Rd Ste 104 Kinston NC 28504-2534 | |
| (252) 559-8838 | |
| (252) 559-8393 |
| Full Name | Kinston Neuroscience, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1100 Hardee Rd Ste 104, Kinston, North Carolina |
| Authorized Official Name and Position | Leslie Denise Reynolds (DOCTOR) |
| Authorized Official Contact | 2525598838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinston Neuroscience, Inc 1100 Hardee Rd Ste 104 Kinston NC 28504-2534 Ph: (252) 559-8838 | Kinston Neuroscience, Inc 1100 Hardee Rd Ste 104 Kinston NC 28504-2534 Ph: (252) 559-8838 |
| NPI Number | 1831366368 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 02/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831366368 | NPI | - | NPPES |
| 8910331 | Medicaid | NC | |
| 10331 | Other | NC | BCBS |
| 2234514 | Other | NC | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 9601701 (North Carolina) | Primary |
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