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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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 1508388257 NPPES
New Jersey Other 13463603300 LAUREL EVALUATIONS, P.A.

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