Tomberlin, Kenneth Guy

Tomberlin, Kenneth Guy is an individual health care provider with primary practice located at 3817 Forrestgate Dr , Winston Salem NC 27103-2930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Tomberlin, Kenneth Guy can be contacted via phone (336) 765-9314.

Contact Information

Primary practice address
3817 Forrestgate Dr Winston Salem NC 27103-2930
Phone: (336) 765-9314
Fax: (336) 765-6610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 229911964 North Carolina

Profile Details

NPI number 1609832971
LBN Legal business name Tomberlin, Kenneth Guy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jun 17th, 2011 - about 13 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 1609832971 NPPES
North Carolina Other 83605 BLUE CROSS BLUE SHIELD
North Carolina Other 0901977 BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 8983605 BLUE CROSS BLUE SHIELD

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