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Individual

MICHAEL KIEMENEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2100 STANTONSBURG RD, ECU PHYSICIANS EMERGENCY MEDICINE, GREENVILLE, NC 27834-2818
(252) 744-4757
(252) 744-4125
Mailing address
PO BOX 751069, ECU PHYSICIANS, CHARLOTTE, NC 28275-1069

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2012-00204
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
170VR
BCBS
NC
05
5920679
NC
Enumeration date
06/15/2009
Last updated
01/08/2013
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