Organization
KINSTON NEUROSCIENCE, INC
Active
Organization
KINSTON NEUROSCIENCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE DENISE REYNOLDS MD (DOCTOR)
(252) 559-8838
Entity
Organization
Contact information
Practice address
1100 HARDEE RD STE 104, KINSTON, NC 28504-2534
(252) 559-8838
(252) 559-8393
Mailing address
1100 HARDEE RD STE 104, KINSTON, NC 28504-2534
(252) 559-8838
(252) 559-8393
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
9601701
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10331
BCBS
NC
01
—
2234514
CIGNA
NC
05
—
8910331
—
NC
Enumeration date
05/14/2008
Last updated
02/15/2011
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