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Kenneth Banks MD PA

Family Medicine in Raleigh, NC. Organization (NPI-2).

NPI number1679804116
StatusActive
Last updated in NPPESDec 20, 2012

Details

NPI
1679804116
Entity type
Organization (NPI-2)
Legal business name
Kenneth Banks MD PA
Organization subpart
No
Enumeration date
Jan 22, 2010
Last updated
Dec 20, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine18602NCYes

Other names

  • Kenneth Banks MD (Doing Business As)

Practice location

2949 New Bern Avenue
Suite 112a
Raleigh, NC 27610

Phone 919-255-1408 · Fax 919-212-9029

Mailing address

Po Box 707
Durham, NC 27702-0707

Phone 919-255-1408 · Fax 919-212-9029

Authorized official

Kenneth Banks
Owner
9192699144

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