Individual
KEVIN FRANCIS MCENANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 GATEWAY DR, CLAYTON, NC 27520-2158
(919) 585-9001
(919) 488-1719
Mailing address
260 HORIZON DR, RALEIGH, NC 27615-4922
(919) 488-0015
(919) 277-0066
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2009-00440
NC
208000000X
Pediatrics Physician
225335
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01408951
—
NY
05
—
5913630
—
NC
Enumeration date
08/09/2005
Last updated
03/11/2013
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