Organization
KENNETH BANKS MD PA
Active
Other names
Kenneth Banks MD
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BANKS MD (OWNER)
(919) 269-9144
Entity
Organization
Contact information
Practice address
2949 NEW BERN AVENUE, SUITE 112A, RALEIGH, NC 27610
(919) 255-1408
(919) 212-9029
Mailing address
PO BOX 707, DURHAM, NC 27702-0707
(919) 255-1408
(919) 212-9029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18602
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912978
—
NC
Enumeration date
01/22/2010
Last updated
12/20/2012
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