Edel, Kenneth Patrick

Edel, Kenneth Patrick is an individual health care provider with primary practice located at 885 Summit Crossing Pl , Gastonia NC 28054-2193. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Edel, Kenneth Patrick can be contacted via phone (704) 316-4979.

Contact Information

Primary practice address
885 Summit Crossing Pl Gastonia NC 28054-2193
Phone: (704) 316-4979
Fax: (704) 316-4978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9800855 North Carolina

Profile Details

NPI number 1194787481
LBN Legal business name Edel, Kenneth Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jan 3rd, 2024 - 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 1194787481 NPPES
North Carolina MEDICAID 8912123

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