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Individual

DR. KENNETH RHINEHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1710 KERNERSVILLE MEDICAL PKWY STE 205, KERNERSVILLE, NC 27284-7156
(336) 996-7076
(336) 996-7832
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 996-7076
(336) 996-7832

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101238816
VA
207RC0000X
Cardiovascular Disease Physician
Primary
28794
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010158214
VA
05
010158222
VA
05
010196311
VA
01
1012
PARTNERS
05
1750362430
VA
01
179317
ANTHEM (W/S)
VA
01
179318
ANTHEM (MT. AIRY)
VA
01
184341
ANTHEM (GALAX)
VA
01
203411A
FMH
NC
01
3867774
AETNA
01
4098566
AETNA
01
71373
BCBS
NC
05
8971373
NC
01
9521216
CIGNA HEALTHCARE
NC
01
E1592
MEDCOST
01
P00229571
MEDICARE RAILROAD
NC
Enumeration date
11/09/2005
Last updated
02/18/2021
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