Organization
KENLY MEDICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAL B WOODALL MD (OWNER)
(919) 284-4025
Entity
Organization
Contact information
Practice address
101 EAST SECOND STREET, KENLY, NC 27542-0275
(919) 284-4025
(919) 284-5965
Mailing address
101 E 2ND STREET, KENLY, NC 27542-0275
(919) 284-4025
(919) 284-5965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155K
BC
—
05
—
890155K
—
NC
Enumeration date
08/28/2006
Last updated
05/05/2015
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