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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992123772 NPPES
Virginia MEDICAID 1992123772

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