Doctor Name: | MR. ERIK L KENYON |
NPI Number: | 1033195144 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 9800591 |
Business Practice Address: | 333 Jefferson St Whiteville, NC - 284723601 |
Business Phone Number: | 9109140540 |
Business Fax Number: | 9109140640 |
Mailing Address: | 333 Jefferson St, WHITEVILLE |
State: | NC |
Postal Code: | 284723601 |
Phone Number: | 9109140540 |
Fax Number: | 9109140640 |
NPI Enumeration Date: | 12/20/2005 |
NPI Last Update Date: | 01/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YS0123X |
License Number: | 9800591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |