Individual
MR. KENNETH THOMAS BELLIAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1839 QUIET COVE, FAYETTEVILLE, NC 28304-3857
(910) 323-1463
(910) 323-1463
Mailing address
1839 QUIET COVE, FAYETTEVILLE, NC 28304-3857
(910) 323-1463
(910) 323-1575
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00189
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1131V
BCBS
NC
05
—
891131V
—
NC
Enumeration date
04/22/2006
Last updated
07/08/2007
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