| Johnston Family Care Center-kenly | |
|
400 N Englewood Dr Kenly NC 27542-9290 | |
| (919) 284-4149 | |
| (919) 284-6008 |
| Full Name | Johnston Family Care Center-kenly |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 400 N Englewood Dr, Kenly, North Carolina |
| Authorized Official Name and Position | Raymond Edward Simpson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9199387128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnston Family Care Center-kenly 509 N Brightleaf Blvd P.o. Box 1376 Smithfield NC 27577-4407 Ph: (919) 934-8171 | Johnston Family Care Center-kenly 400 N Englewood Dr Kenly NC 27542-9290 Ph: (919) 284-4149 |
| NPI Number | 1336189760 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336189760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Johnston Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Englewood Dr, Kenly, NC 27542 Phone: 919-284-4149 Fax: 919-284-6008 | |
Kenly Medical Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 East Second Street, Kenly, NC 27542 Phone: 919-284-4025 Fax: 919-284-5965 |