Individual
DR. KENNETH E SCHMADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Mailing address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
27086
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6974876
—
NC
Enumeration date
10/19/2006
Last updated
07/08/2007
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