KENNETH WALLMEYER MD NPI 1104911528

NPI Information

  • NPI: 1104911528
  • Provider Name: KENNETH WALLMEYER, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • Address: 306 WESTWOOD AVE
    SUITE 401
    HIGH POINT, NC
    ZIP 27262
  • Phone: (336) 885-6168

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NPI Details

Kenneth Wallmeyer, MD is a cardiovascular disease internal medicine in High Point, NC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Kenneth Wallmeyer, MD NPI is 1104911528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

306 WESTWOOD AVE
SUITE 401
HIGH POINT, NC
ZIP 27262-341
Phone: (336) 885-6168
Fax: (336) 885-8523

The enumeration date for this NPI number is 10/3/2006 and was last updated on 6/25/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease2006-01504NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15905908MEDICAIDNORTH CAROLINA
2B57443MEDICARE UPINNORTH CAROLINA
32061089BMEDICARE PINNORTH CAROLINA
4P00654539OTHERNORTH CAROLINARR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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