Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 009900978 | NC |
Y | 208600000X | Surgeon | 009900978 | NC |
N | 2086S0129X | Vascular Surgeon | 009900978 | NC |
N | 2086X0206X | Surgical Oncologist | 009900978 | NC |
NPI | 1215990502 |
---|---|
Provider Name | Dr. Kenneth L Parish |
First Address | Charlotte, NC 28260-2658 |
Second Address | Hickory, NC 28601-5036 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2006 |
Last Update Date | 31/03/2015 |