Peavy, Kenneth Alton
Peavy, Kenneth Alton is an individual health care provider with primary practice located at 1400 Westgate Center Dr Suite 204, Winston Salem NC 27103-3104. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Peavy, Kenneth Alton can be contacted via phone (336) 774-3001.Contact Information
Primary practice address
1400 Westgate Center Dr Suite 204
Winston Salem NC 27103-3104
Phone: (336) 774-3001
Fax: (336) 774-9161
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | 5876 | North Carolina |
Profile Details
NPI number | 1447394556 |
---|---|
LBN Legal business name | Peavy, Kenneth Alton |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 20th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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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