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Organization

PLEASURE ISLAND HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH CHRISTOPHER FARMER ANP (OWNER)
(910) 399-8666
Entity
Organization

Contact information

Practice address
1328 NORTH LAKE PARK BLVD STE 102, CAROLINA BEACH, NC 28428
(910) 399-8666
(910) 399-8664
Mailing address
1328 NORTH LAKE PARK BLVD STE 102, CAROLINA BEACH, NC 28428
(910) 399-8666
(910) 399-8664

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5004456
NC
363LA2200X
Adult Health Nurse Practitioner
190386
NC

Other

Enumeration date
07/27/2016
Last updated
06/21/2018
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