Doctor Name: | KENNETH PEAT |
NPI Number: | 1275507667 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 200500439 |
Business Practice Address: | 5200 N Croatan Hwy Kitty Hawk, NC - 279493990 |
Business Phone Number: | 2522619211 |
Business Fax Number: | 2522614329 |
Mailing Address: | 2101 W Arlington Blvd Ste 210, GREENVILLE |
State: | NC |
Postal Code: | 278345758 |
Phone Number: | 2527525000 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2006 |
NPI Last Update Date: | 07/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 200500439 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |