Search › North Carolina › 101YA0400X
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, IncInferred 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