Hefner, Kenny Dewayne
Hefner, Kenny Dewayne is an individual health care provider with primary practice located at 1919 W Park Dr , N Wilkesboro NC 28659-3564. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hefner, Kenny Dewayne can be contacted via phone (336) 651-2980.Contact Information
Primary practice address
1919 W Park Dr
N Wilkesboro NC 28659-3564
Phone: (336) 651-2980
Fax: (336) 667-2047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 97-00276 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 97-00276 | North Carolina |
Profile Details
| NPI number | 1699747329 |
|---|---|
| LBN Legal business name | Hefner, Kenny Dewayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Oct 29th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699747329 | NPPES |
| North Carolina | MEDICAID | 891062A |
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