Search › North Carolina › 363A00000X
Kenneth Blanton, PA
NPI 1639194715 · on the registry since 2006
Practice
- Address
- 2131 S 17th St
Wilmington, NC 28401 - Phone
- (910) 667-2606
- Fax
- (910) 815-5698
- Organisation at this address
- Ecep Ii Pa
Health Sciences Foundation Inc
Health Sciences Foundation Inc
Health Sciences Foundation, Inc
Coastal Childrens Services PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 561
Additional practice sites
- 1912 Tradd Ct, Wilmington, NC
- 2153 Valleygate Dr Ste 101, Fayetteville, NC
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-18
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