Organization
BECKFORD AVENUE MEDICAL CENTER PA
Active
Other names
Beckford Warren Medical center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E KENNEY M.D. (PRESIDENT)
(252) 257-6213
Entity
Organization
Contact information
Practice address
816 US HWY 158 W SUITE 102, WARRENTON, NC 27589
(252) 257-6213
(252) 257-3286
Mailing address
816 US HWY 158 W SUITE 102, WARRENTON, NC 27589
(252) 257-6213
(252) 257-3286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23579
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015AY
—
NC
Enumeration date
09/06/2006
Last updated
05/08/2024
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