Individual
PAUL M KINNAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 NASH MEDICAL ARTS MALL, ROCKY MOUNT, NC 27804-1400
(252) 451-3100
(252) 937-3106
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 937-0200
(252) 451-0056
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25043
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2537521
CIGNA HEALTHCARE
NC
01
—
49530
BCBSNC
ND
05
—
8949350
—
NC
01
—
B6660
MEDCOST
ND
01
—
P00273662
RAILROAD MEDICARE
NC
Enumeration date
09/07/2005
Last updated
03/30/2015
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