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Search › North Carolina › 363A00000X

Ethan Kenney, PHYSICIAN ASSISTANT

NPI 1346870821 · on the registry since 2020

Practice

Address
15830 Ballantyne Medical Pl Ste 275
Charlotte, NC 28277
Phone
(980) 302-8659
Fax
(980) 302-8674
Organisation at this address
Novant Health Medical Group, Llc
Novant Health Medical Group, Llc
Dermatology Care Of Charlotte, Pa
The Charlotte-Mecklenburg Hospital Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Additional practice sites

  • 1640 E Roosevelt Blvd, Monroe, NC
  • 330 Billingsley Rd Ste 202, Charlotte, NC
  • 2801 Randolph Rd Ste 100, Charlotte, NC

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina