Individual
KENNETH JAMES MCNEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
400 OLD SMITHFIELD RD, GOLDSBORO, NC 27530-8464
(919) 581-4506
Mailing address
206 WORTH DR, GOLDSBORO, NC 27534-9528
(910) 249-2063
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
A1856
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012AG
BCBS OF NC
NC
01
—
561924070
TAX ID
NC
05
—
7492714
—
NC
Enumeration date
11/15/2007
Last updated
06/10/2020
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