Kinston Dermatology, Pa

LBN: Kinston Dermatology, Pa
Kinston Dermatology, Pa is an health care organization with primary practice located at 701 Doctors Dr Kinston Clinic North, Suite F, Kinston NC 28501-1584. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Kinston Dermatology, Pa can be contacted via phone (252) 523-3289, or through Henshaw, Diana Monroe via phone (252) 523-3289.

Contact Information

Primary practice address
701 Doctors Dr Kinston Clinic North, Suite F Kinston NC 28501-1584
Phone: (252) 523-3289
Fax: (252) 523-1310
Website:
Map and Directions
Authorized official contact:
Name: Henshaw, Diana Monroe EDD
Phone: (252) 523-3289

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 84026 North Carolina

Profile Details

NPI number 1508976432
LBN Legal business name Kinston Dermatology, Pa
DBA Doing business as
Authorized official Henshaw, Diana Monroe EDD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508976432 NPPES
Other 0105H BCBS
MEDICAID 790105H BCBS

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