SearchNorth Carolina207RC0000X

Kenneth Bodek, M.D

NPI 1871587923 · on the registry since 2005

Practice

Address
186 Kimel Park Dr
Suite 400
Winston Salem, NC 27103
Phone
(336) 277-2000
Fax
(336) 277-2050
Organisation at this address
Forsyth Memorial Hospital Inc
Forsyth Memorial Hospital, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
56

Registry record

Primary taxonomy
207RC0000X
207RC0000X
Also registered as
207RC0000X
207UN0901X
Licence states on file
NC, PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-15

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