Cook, Kenton R

Cook, Kenton R is an individual health care provider with primary practice located at 4420 Lake Boone Trl , Raleigh NC 27607-7505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Cook, Kenton R can be contacted via phone (919) 784-7093.

Contact Information

Primary practice address
4420 Lake Boone Trl Raleigh NC 27607-7505
Phone: (919) 784-7093
Fax: (919) 784-7395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200001475 North Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 200001475 North Carolina

Profile Details

NPI number 1427036938
LBN Legal business name Cook, Kenton R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Mar 7th, 2023 - about last year

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 1427036938 NPPES
Other 128MF BLUE CROSS BLUE SHIELD
MEDICAID 89128MF BLUE CROSS BLUE SHIELD

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