Sample, Kenneth M

Sample, Kenneth M is an individual health care provider with primary practice located at 100 Brewster Blvd , Camp Lejeune NC 28547-2575. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sample, Kenneth M can be contacted via phone (910) 450-4760.

Contact Information

Primary practice address
100 Brewster Blvd Camp Lejeune NC 28547-2575
Phone: (910) 450-4760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01053054A Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101253264 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 24465 Kentucky

Profile Details

NPI number 1205800596
LBN Legal business name Sample, Kenneth M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Feb 12th, 2020 - about 4 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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