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KINSTON INTERNAL MEDICINE & GERIATRICS NPI 1124384441


NPI Information

NPI: 1124384441
Provider Name: KINSTON INTERNAL MEDICINE & GERIATRICS
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
2508 N QUEEN ST
KINSTON, NC
ZIP 28501
Phone: (252) 208-1965
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KINSTON INTERNAL MEDICINE & GERIATRICS is a geriatric medicine internal medicine in Kinston, NC. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. KINSTON INTERNAL MEDICINE & GERIATRICS NPI is 1124384441. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2508 N QUEEN ST
KINSTON, NC
ZIP 28501-631
Phone: (252) 208-1965
Fax: (252) 208-1962

The provider's authorized official is Mobolanle O Gbadamosi .
The authorized official title is Physician and has the following contact phone number (252) 208-1965.

The enumeration date for this NPI number is 4/11/2012 and was last updated on 7/16/2013.


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
1207RG0300XInternal MedicineGeriatric Medicine200901445NORTH 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
12075295MEDICARE UPINNORTH CAROLINA
2A936OTHERNORTH CAROLINAPALMETTO/GBA
35913338MEDICAIDNORTH CAROLINA

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: 5/5/2024

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