Individual
DR. KENNON CHARLES WEEKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2415 W VERNON AVE, CASWELL CENTER, KINSTON, NC 28504-3337
(252) 208-4074
(252) 208-4080
Mailing address
2415 W VERNON AVE, CASWELL CENTER, KINSTON, NC 28504-3337
(252) 208-4074
(252) 208-4080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4547
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
U42878
—
NC
Enumeration date
08/23/2007
Last updated
08/23/2007
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