Individual
MR. KENNETH CARTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-8983
(704) 355-8994
Mailing address
5801 NEWCOMBE CT, CHARLOTTE, NC 28277-2564
(704) 341-7884
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0109295
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050907
—
NC
05
—
NAN662
—
SC
Enumeration date
06/17/2006
Last updated
09/13/2016
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