Mcmunn, Jedediah Kenton
Mcmunn, Jedediah Kenton is an individual health care provider with primary practice located at 7110 Lawyers Rd , Mint Hill NC 28227-3906. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mcmunn, Jedediah Kenton can be contacted via phone (704) 537-0020.Contact Information
Primary practice address
7110 Lawyers Rd
Mint Hill NC 28227-3906
Phone: (704) 537-0020
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101268626 | Virginia |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101268626 | Virginia |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2022-00662 | North Carolina |
Profile Details
NPI number | 1992123772 |
---|---|
LBN Legal business name | Mcmunn, Jedediah Kenton |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 31st, 2014 |
Last updated | Mar 21st, 2023 - about 2 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 | 1992123772 | NPPES |
Virginia | MEDICAID | 1992123772 |
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