Melton, Kenneth

Melton, Kenneth is an individual health care provider with primary practice located at 557 Sandhurst Dr , Fayetteville NC 28304-4433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Melton, Kenneth can be contacted via phone (910) 484-8114.

Contact Information

Primary practice address
557 Sandhurst Dr Fayetteville NC 28304-4433
Fax: (910) 484-1564
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 33713 North Carolina

Profile Details

NPI number 1003815994
LBN Legal business name Melton, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jan 21st, 2011 - about 13 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 1003815994 NPPES
North Carolina MEDICAID 7958616

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