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Kenneth Province

NPI 1619292042 · on the registry since 2010

Practice

Address
1355 Brushy Mountain Rd
Wilkesboro, NC 28697
Phone
(336) 818-0733
Clinicians at this address
2

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-03-29

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