Organization
KEN J TOMPKINS MD PC
Active
Parent organization
KEN J TOMPKINS MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEN J TOMPKINS MD PC
Authorized official
KEN J TOMPKINS MD (OWNER)
(757) 825-1440
Entity
Organization
Contact information
Practice address
5589 N CROATAN HWY, KITTY HAWK, NC 27949-3996
(252) 715-0610
(252) 715-0612
Mailing address
5589 N CROATAN HWY, KITTY HAWK, NC 27949-3996
(252) 715-0610
(252) 715-0612
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013XM
CLAIMS PROCESSING CONTRACTOR
NC
05
—
89013XM
—
NC
Enumeration date
10/31/2008
Last updated
10/31/2008
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