Individual
DR. KENNETH R HAUSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 SW CARY PKWY, SUITE 302, CARY, NC 27511-6219
(919) 367-2580
Mailing address
1505 SW CARY PKWY, SUITE 302, CARY, NC 27511-6219
(919) 367-2580
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
16406
KY
208600000X
Surgery Physician
Primary
17366
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0385104
—
OH
05
—
3810002481
—
WV
05
—
64164064
—
KY
Enumeration date
06/24/2005
Last updated
03/03/2009
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