Individual
DR. MICHAEL CLARK KINNEBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Contact information
Practice address
1122 MEDICAL CENTER DR, WILMINGTON, NC 28401-7305
(910) 762-2618
(910) 763-5173
Mailing address
1122 MEDICAL CENTER DR, WILMINGTON, NC 28401-7305
(910) 762-2618
(910) 763-5173
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
96000154
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10272203
VOCATIONAL REHABILITATION
NC
01
—
49309
BLUE CROSS BLUE SHIELD
NC
05
—
8949309
—
NC
05
—
8994921
—
NC
01
—
979443
UNITED CONCORDIA
—
Enumeration date
10/10/2005
Last updated
02/01/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us