Individual
DR. LYSLE KENNEDY AILSTOCK
Active
Individual
DR. LYSLE KENNEDY AILSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
9600437
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10461
BCBSNC
NC
05
—
8910461
—
NC
Enumeration date
11/16/2005
Last updated
04/27/2022
Update your record
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