Middleton, Gordon Kennedy
Middleton, Gordon Kennedy is an individual health care provider with primary practice located at 1321 Oberlin Rd A, Raleigh NC 27608-2052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Middleton, Gordon Kennedy can be contacted via phone (919) 828-4747.Contact Information
Primary practice address
1321 Oberlin Rd A
Raleigh NC 27608-2052
Phone: (919) 828-4747
Fax: (919) 828-6765
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 10174 | North Carolina |
Profile Details
NPI number | 1194798223 |
---|---|
LBN Legal business name | Middleton, Gordon Kennedy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 9th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1194798223 | NPPES |
North Carolina | MEDICAID | 8958793 |
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