Individual
KENNETH NICHOLAS WHITESIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7110 LAWYERS RD, MINT HILL, NC 28227-3906
(704) 537-0020
(704) 316-8634
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025-01737
NC
207Q00000X
Family Medicine Physician
LL88127
SC
Other
Enumeration date
06/09/2022
Last updated
08/25/2025
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