Kenneth Peavy, D.M.D

NPI 1447394556 · on the registry since 2007

Practice

Address: 1400 Westgate Center Dr
Suite 204
Winston Salem, NC 27103
Phone: (336) 774-3001
Fax: (336) 774-9161
Organisation at this address: Warren Stacks Md
Cornerstone Health Care
Barium Springs Home For Children
Novant Health Medical Group, Llc
Barium Springs Home For Children
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 1223P0300X
1223P0300X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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