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Individual

KENNETH TODD PIERCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
415 N CENTER ST, SUITE 203, HICKORY, NC 28601-5057
(828) 323-8281
(828) 323-8322
Mailing address
415 N CENTER ST, SUITE 203, HICKORY, NC 28601-5057
(828) 323-8281
(828) 323-8322

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD0000040857
TN
2086S0129X
Vascular Surgery Physician
Primary
200500234
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200500234
LICENSE
NC
05
3338766
TN
01
MD0000040857
MEDICAL LICENSE
TN
Enumeration date
05/02/2006
Last updated
10/15/2014
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