KENNETH DOUGLAS SHANK

ALBEMARLE, NC
NPI1083695159
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  109181)
Enumeration Date2005-11-07
Last Update Date2008-02-04
Business Address
-- KENNETH DOUGLAS SHANK DO
815 N 3RD ST
ALBEMARLE, NC 28001-3403
Phone number: 704-983-3508
Mailing Address
-- KENNETH DOUGLAS SHANK DO
815 N 3RD ST
ALBEMARLE, NC 28001-3403
Phone number: 704-983-3508
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