Organization
R. MICHAEL KENNERLY, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R. MICHAEL KENNERLY M.D. (OWNER)
(828) 273-9584
Entity
Organization
Contact information
Practice address
1298 CANE CREEK RD, FLETCHER, NC 28732-9467
(828) 273-9584
Mailing address
PO BOX 2539, ASHEVILLE, NC 28802-2539
(828) 273-9584
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20026
NC
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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