Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 2013-02349 | NC |
N | 204F00000X | Transplant Surgeon | 55480 | WI |
Y | 208200000X | Surgeon | 2013-02349 | NC |
Y | 208600000X | Surgeon | 2013-02349 | NC |
NPI | 1174845838 |
---|---|
Provider Name | Dr. Christopher David Kenney |
First Address | High Point, NC 27262-7008 |
Second Address | High Point, NC 27262-7299 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2010 |
Last Update Date | 31/01/2018 |