Individual
KENNETH M FLOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 235-4543
Mailing address
18 WIMBLEDON DR, ROXBORO, NC 27573-4883
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9300114
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32815
BCBS
NC
05
—
8932815
—
NC
01
—
930082165
RAILROAD
NC
05
—
N00114
—
SC
Enumeration date
04/05/2006
Last updated
06/08/2022
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