Organization
KENNETH KLEIN
Active
Other names
East Carolina Dermatology and Skin Surgery, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L KLEIN M.D. (PHYSICIAN/OWNER)
(252) 633-4200
Entity
Organization
Contact information
Practice address
600 MCCARTHY BLVD, NEW BERN, NC 28562-5231
(252) 633-4200
(252) 633-9263
Mailing address
600 MCCARTHY BLVD, NEW BERN, NC 28562-5231
(252) 633-4200
(252) 633-9263
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174507990
NPI
NC
01
—
207N00000X
MEDICAID
—
01
—
2183602
MEDICARE
—
01
—
49680
BCBS
—
05
—
8949680
—
NC
01
—
F38755
UPIN
NC
Enumeration date
11/11/2008
Last updated
10/19/2011
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