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Individual

MR. KENNETH CHARLES LENNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
611 N LINDSAY ST, SUITE 200, HIGH POINT, NC 27262-4300
(336) 802-2250
(336) 802-2251
Mailing address
1701 WESTCHESTER DRIVE, SUITE 850, HIGH POINT, NC 27262-7254
(336) 802-2536
(336) 802-2534

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
200000515
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89126UT
NC
01
P00435200
RAILROAD MEDICARE
NC
Enumeration date
07/15/2005
Last updated
01/29/2015
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