Cloninger, Kenneth Kyle

Cloninger, Kenneth Kyle is an individual health care provider with primary practice located at 808 Schenck St , Shelby NC 28150-3934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cloninger, Kenneth Kyle can be contacted via phone (704) 480-9344.

Contact Information

Primary practice address
808 Schenck St Shelby NC 28150-3934
Fax: (704) 484-3260
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9500537 North Carolina

Profile Details

NPI number 1265411086
LBN Legal business name Cloninger, Kenneth Kyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jan 26th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265411086 NPPES
North Carolina MEDICAID 8923031

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