Individual
DR. KENNETH G MACDONALD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 413-6735
(252) 752-2019
Mailing address
1850 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 413-6735
(252) 752-2019
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27238
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20033818
RAILROAD MEDICARE
NC
01
—
53661
BCBS NC
NC
05
—
8953661
—
NC
Enumeration date
08/24/2005
Last updated
10/09/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us