Individual
DR. KINGSLEY ASAMOAH LARTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1370 W D ST, NORTH WILKESBORO, NC 28659-3506
(336) 651-8100
(336) 716-0030
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018-02663
NC
207R00000X
Internal Medicine Physician
34008576
OH
207R00000X
Internal Medicine Physician
36173
SC
208M00000X
Hospitalist Physician
Primary
2018-02663
NC
208M00000X
Hospitalist Physician
36173
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2612211
—
OH
05
—
361735
—
SC
01
—
P01316207
RAILROAD MEDICARE
SC
Enumeration date
03/01/2006
Last updated
11/15/2022
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