Individual
DR. KENYA P MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5740 N GRAHAM ST, CHARLOTTE, NC 28269-4839
(704) 251-8340
(980) 549-3832
Mailing address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2019-01610
NC
207Q00000X
Family Medicine Physician
273032
NY
207Q00000X
Family Medicine Physician
90754
SC
Other
Enumeration date
07/26/2006
Last updated
05/09/2024
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