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KENNETH BANKS MD PA NPI 1679804116


NPI Information

NPI: 1679804116
Provider Name: KENNETH BANKS MD PA

Doing Business As: KENNETH BANKS MD

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2949 NEW BERN AVENUE
SUITE 112A
RALEIGH, NC
ZIP 27610
Phone: (919) 255-1408
Get Directions

KENNETH BANKS MD PA is a family medicine in Raleigh, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KENNETH BANKS MD PA NPI is 1679804116. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kenneth Banks Md.

The provider's business location address is:

2949 NEW BERN AVENUE
SUITE 112A
RALEIGH, NC
ZIP 27610
Phone: (919) 255-1408
Fax: (919) 212-9029

The provider's authorized official is Kenneth Banks .
The authorized official title is Owner and has the following contact phone number (919) 269-9144.

The enumeration date for this NPI number is 1/22/2010 and was last updated on 12/20/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine18602NORTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18912978MEDICAIDNORTH CAROLINA
2D26813MEDICARE UPINNORTH CAROLINA
3201687FMEDICARE PIN
4D26813MEDICARE UPIN
5201687FMEDICARE PINNORTH 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: 11/14/2023

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