# BECKFORD AVENUE MEDICAL CENTER PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beckford Warren Medical center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972606820
- **Authorized official:** JAMES E KENNEY M.D. (PRESIDENT)
- **Authorized official phone:** (252) 257-6213

## Contact information

- **Practice address:** 816 US HWY 158 W SUITE 102, WARRENTON, NC 27589
- **Practice address phone:** (252) 257-6213
- **Practice address fax:** (252) 257-3286
- **Mailing address:** 816 US HWY 158 W SUITE 102, WARRENTON, NC 27589
- **Mailing address phone:** (252) 257-6213
- **Mailing address fax:** (252) 257-3286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 23579 | NC | Yes |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 05/08/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 89015AY | — | NC |