| Kenneth Douglas Shank, DO | |
|
815 N 3rd St, Albemarle, NC 28001-3403 | |
| (704) 983-3508 | |
| (704) 983-3509 |
| Full Name | Kenneth Douglas Shank |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 815 N 3rd St, Albemarle, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083695159 | NPI | - | NPPES |
| 89132T2 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 109181 (North Carolina) | Primary |
| Entity Name | Med First Immediate Care & Family Practice Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053503763 PECOS PAC ID: 0446332720 Enrollment ID: O20080124000674 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Douglas Shank, DO 815 N 3rd St, Albemarle, NC 28001-3403 Ph: (704) 983-3508 | Kenneth Douglas Shank, DO 815 N 3rd St, Albemarle, NC 28001-3403 Ph: (704) 983-3508 |
Carl Robert Nordstrom, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 739 E Oakwood Ave, Albemarle, NC 28001 Phone: 704-550-5860 | |
Richard Vernon Liles Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 220 Yadkin St, Community Care Clinic, Albemarle, NC 28001 Phone: 704-984-2300 Fax: 704-984-4671 | |
Raghava Reddy Induru, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 945 N 5th St, Albemarle, NC 28001 Phone: 980-323-7790 | |
Christina Adams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Yadkin St, Suite 301, Albemarle, NC 28001 Phone: 704-982-9144 | |
Joseph K Hunter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Yadkin St, Ste 301, Albemarle, NC 28001 Phone: 980-323-5360 | |
Edward A Kepp, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 232 Concord Rd, Albemarle, NC 28001 Phone: 704-986-3900 Fax: 704-986-3913 |