Individual
KENNETH D WEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 RANDOLPH RD, SUITE 101, CHARLOTTE, NC 28211-1047
(704) 384-7910
(704) 384-7914
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-3820
(704) 316-3825
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
22644
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
22644
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7986315
—
NC
05
—
N22644
—
SC
Enumeration date
07/29/2005
Last updated
07/28/2015
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