Individual
DR. BOBBY PAXTON KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
536 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625-4391
(704) 872-3772
Mailing address
536 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625-4391
(704) 872-3772
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
128928
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
128928
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132YE
BCBS
NC
01
—
53985
MEDCOST
NC
05
—
89132YE
—
NC
Enumeration date
07/25/2006
Last updated
10/14/2025
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