Individual
BENJAMIN KEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 N JUSTICE ST, HENDERSONVILLE, NC 28791-3410
(828) 694-7696
(828) 694-7654
Mailing address
800 N JUSTICE ST, HENDERSONVILLE, NC 28791-3410
(828) 694-7696
(828) 694-7654
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001005444
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19ALM
BCBS NC
NC
01
—
NCM032A
MEDICARE PTAN
NC
01
—
P01627738
RR MEDICARE
NC
Enumeration date
01/02/2015
Last updated
04/01/2021
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