Search › North Carolina › 1041C0700X
Kenneth Shore, LCSW
NPI 1871762641 · on the registry since 2008
Practice
- Address
- 4112 Blue Ridge Road
2nd Floor
Raleigh, NC 27612 - Phone
- (919) 573-6520
- Fax
- (919) 573-6557
- Organisation at this address
- Perpetual Home Care, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-02-26
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