Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 22441 | NC |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 22441 | NC |
NPI | 1316929797 |
---|---|
Provider Name | Dr. Kenneth K Steinweg |
First Address | Charlotte, NC 28275-1069 |
Second Address | Greenville, NC 27834-2829 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2005 |
Last Update Date | 14/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
79665 | BCBS NC (01) | NC |
80106309 | RAILROAD MEDICARE (01) | NC |
8979665 | (05) | NC |
C86593 | (02) | NC |