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Kenneth Colston

NPI 1578803086 · on the registry since 2013 · sole proprietor

Practice

Address
120 Coastal Horizons Dr
Shallotte, NC 28470
Phone
(910) 754-4515
Organisation at this address
Genoa Healthcare Llc
Coastal Horizons Center
Coastal Horizons Center Inc
Coastal Horizons Center Inc
Coastal Horizons Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
48

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-02-20

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