Individual
MR. KENNETH HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1700 E ASH ST STE 301, GOLDSBORO, NC 27530-4097
(877) 213-3533
Mailing address
1700 E ASH ST STE 301, GOLDSBORO, NC 27530-4097
(877) 213-3533
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
161047
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578856266
NPI
—
05
—
6602249
—
NC
Enumeration date
05/27/2011
Last updated
04/23/2014
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