Organization
KASSELT BONE AND JOINT CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX R KASSELT M.D. (PRESIDENT/OWNER)
(252) 523-6506
Entity
Organization
Contact information
Practice address
2104 N HERRITAGE ST, KINSTON, NC 28501-2222
(252) 523-6506
(252) 523-6969
Mailing address
2104 N HERRITAGE ST, KINSTON, NC 28501-2222
(252) 523-6506
(252) 523-6969
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35389
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0292L
BLUE CROSS OF NC
NC
01
—
0564940001
PALMETTO GBA
NC
01
—
2324236
MEDICARE
NC
05
—
890292L
—
NC
Enumeration date
09/12/2005
Last updated
12/15/2009
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