Individual
DR. KENNETH K STEINWEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 HEART DR., ECU PHYSICIANS GERIATRICS, GREENVILLE, NC 27834-2829
(252) 744-2045
(252) 744-3525
Mailing address
PO BOX 751069, ECU PHYSICIANS FAMILY MEDICINE, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
22441
NC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
22441
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79665
BCBS NC
NC
01
—
80106309
RAILROAD MEDICARE
NC
05
—
8979665
—
NC
Enumeration date
11/18/2005
Last updated
12/14/2011
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