Peacock, Kenneth Charles
Peacock, Kenneth Charles is an individual health care provider with primary practice located at 523 Fellowship Rd Ste 275 , Mount Laurel NJ 08054-3445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Peacock, Kenneth Charles can be contacted via phone (856) 235-7666.Contact Information
Primary practice address
523 Fellowship Rd Ste 275
Mount Laurel NJ 08054-3445
Phone: (856) 235-7666
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 25MA04603300 | New Jersey |
Profile Details
NPI number | 1508388257 |
---|---|
LBN Legal business name | Peacock, Kenneth Charles |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 14th, 2017 |
Last updated | Jul 14th, 2017 - about 7 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 | 1508388257 | NPPES |
New Jersey | Other | 13463603300 | LAUREL EVALUATIONS, P.A. |
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