Individual
DR. KENNETH W ZAMKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, CLEMMONS, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
113221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00461358
—
NY
01
—
5080078
AETNA
NY
01
—
5Z9013
EMPIRE BC.BS
NY
05
—
8912174
—
NC
Enumeration date
07/12/2006
Last updated
11/06/2008
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