Individual
DR. KENNETH GLYDE BARNES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
105 EASTBROOK DR, GREENVILLE, NC 27858-4216
(252) 754-2225
(252) 758-2251
Mailing address
105 EASTBROOK DR, GREENVILLE, NC 27858-4216
(252) 754-2225
(252) 758-2251
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3189
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085UC
BLUE CROSS BLUE SHIELD ST
NC
01
—
5680040001
MEDICARE ID
NC
05
—
89085UC
—
NC
Enumeration date
06/28/2006
Last updated
11/21/2007
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