Shedarowich, Kenneth Scott

Shedarowich, Kenneth Scott is an sole proprietor health care provider with primary practice located at 155 Memorial Dr , Pinehurst NC 28374-8710. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Shedarowich, Kenneth Scott can be contacted via phone (910) 715-2164.

Contact Information

Primary practice address
155 Memorial Dr Pinehurst NC 28374-8710
Phone: (910) 715-2164
Fax: (910) 715-1926
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA13309 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1134257553
LBN Legal business name Shedarowich, Kenneth Scott
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Jun 10th, 2015 - about 9 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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