Organization
KIDS FIRST PEDIATRICS OF RAEFORD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEAMOR DE LEON BUENASEDA M.D. (OWNER)
(910) 848-5437
Entity
Organization
Contact information
Practice address
4005 FAYETTEVILLE RD, RAEFORD, NC 28376-8058
(910) 848-5437
(910) 848-5439
Mailing address
4005 FAYETTEVILLE RD, RAEFORD, NC 28376-8058
(910) 848-5437
(910) 848-5439
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200601348
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5922034
—
NC
Enumeration date
11/01/2010
Last updated
10/15/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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