Individual
MR. HENRY ALBERT KEARNEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
106 W NELSON ST, ROBERSONVILLE, NC 27871-9768
(252) 795-3137
(252) 795-3138
Mailing address
PO BOX 248, ROBERSONVILLE, NC 27871-0248
(252) 795-3137
(252) 795-3138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4215
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8994779
—
NC
Enumeration date
06/18/2006
Last updated
07/08/2007
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