Marburg, Kenneth Charles

Marburg, Kenneth Charles is an individual health care provider with primary practice located at 4402 Shipyard Blvd , Wilmington NC 28403-6161. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Marburg, Kenneth Charles can be contacted via phone (910) 452-1400.

Contact Information

Primary practice address
4402 Shipyard Blvd Wilmington NC 28403-6161
Fax: (910) 332-1072
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 27706 North Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 27706 North Carolina

Profile Details

NPI number 1144225558
LBN Legal business name Marburg, Kenneth Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Nov 16th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144225558 NPPES
North Carolina Other 53962 BCBS
North Carolina Other 27492 BCBS
North Carolina Other 110127021 BCBS
North Carolina Other 01-28858 BCBS

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