Michael C. Kinnebrew, Md, Dds, Pa
LBN: Michael C. Kinnebrew, Md, Dds, Pa
Michael C. Kinnebrew, Md, Dds, Pa is an health care organization with primary practice located at 1122 Medical Center Dr , Wilmington NC 28401-7305. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Michael C. Kinnebrew, Md, Dds, Pa can be contacted via phone (910) 762-2618, or through Belisle, Paul O via phone (910) 762-2618.
Contact Information
Primary practice address
1122 Medical Center Dr
Wilmington NC 28401-7305
Phone: (910) 762-2618
Fax: (910) 763-5173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 96000154 | North Carolina |
Profile Details
| NPI number | 1558533315 |
|---|---|
| LBN Legal business name | Michael C. Kinnebrew, Md, Dds, Pa |
| DBA Doing business as | |
| Authorized official | Belisle, Paul O |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 1st, 2008 |
| Last updated | Apr 1st, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558533315 | NPPES |
| North Carolina | MEDICAID | 8949309 | |
| North Carolina | Other | 145230 | |
| North Carolina | MEDICAID | 8994921 | |
| North Carolina | Other | 979443 | |
| North Carolina | Other | 49309 |
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