Macdonald, Kenneth G
Macdonald, Kenneth G is an individual health care provider with primary practice located at 1850 W Arlington Blvd , Greenville NC 27834-5704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Macdonald, Kenneth G can be contacted via phone (252) 413-6735.Contact Information
Primary practice address
1850 W Arlington Blvd
Greenville NC 27834-5704
Phone: (252) 413-6735
Fax: (252) 752-2019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 27238 | North Carolina |
Profile Details
| NPI number | 1205829371 |
|---|---|
| LBN Legal business name | Macdonald, Kenneth G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Oct 9th, 2014 - about 11 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 | 1205829371 | NPPES |
| North Carolina | Other | 53661 | BCBS NC |
| North Carolina | Other | 20033818 | BCBS NC |
| North Carolina | MEDICAID | 8953661 | BCBS NC |
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