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1417930074
KENNETH GEORGE REARDON
CHARLOTTE, NC
NPI
1417930074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 102013)
Enumeration Date
2005-11-28
Last Update Date
2010-05-12
Business Address
Mr. KENNETH GEORGE REARDON PA-C
2001 RANDOLPH RD
CHARLOTTE, NC 28207-1215
Phone number: 704-323-2000
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Mailing Address
Mr. KENNETH GEORGE REARDON PA-C
4601 PARK RD STE 300
CHARLOTTE, NC 28209-3239
Phone number: 704-323-2000
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