Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 113221 | NY |
NPI | 1003831140 |
---|---|
Provider Name | Dr. Kenneth W Zamkoff |
First Address | Winston Salem, NC 27102-0344 |
Second Address | Clemmons, NC 27157-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 06/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00461358 | (05) | NY |
5080078 | AETNA (01) | NY |
5Z9013 | EMPIRE BC.BS (01) | NY |
8912174 | (05) | NC |
B81699 | (02) | NY |