Individual
KENNETH CASTLES SHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1814 WESTCHESTER DRIVE, SUITE 101, HIGH POINT, NC 27262-7369
(336) 802-2150
(336) 802-2151
Mailing address
1701 WESTCHESTER DRIVE, SUITE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23776
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020053940
RR MEDICARE
NC
05
—
8912533
—
NC
Enumeration date
07/06/2006
Last updated
03/23/2010
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