Internal Medicine in GREENVILLE, NC
Last Updated on : Dec 27,2011
WILLIAM THOMAS KENDRICK is an Internal Medicine provider in GREENVILLE, United States. His medical specialization is Internal Medicine with a focus in Nephrology.
1407858632 is NPI number of WILLIAM THOMAS KENDRICK.
WILLIAM THOMAS KENDRICK's primary taxonomy code based on NPI Lookup is 207RN0300X with license number 200301132. This taxonomy code refers to Internal Medicine.
WILLIAM THOMAS KENDRICK has more than 17 years of experience.
WILLIAM THOMAS KENDRICK current practice location address is 511 PALADIN DR, GREENVILLE, NC. WILLIAM THOMAS KENDRICK can be reached out via phone at 252-752-8880 and via fax at 252-317-2092 .
You can also correspond with WILLIAM THOMAS KENDRICK through mail at mailing address 511 PALADIN DR, GREENVILLE, NC, United States. Mailing address contact number is 252-752-8880.
The enumeration date of WILLIAM THOMAS KENDRICK is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 12 years ago.Basic NPI information of WILLIAM THOMAS KENDRICK (NPI 1407858632) is provided below.
Name | WILLIAM THOMAS KENDRICK |
---|---|
National Provider Id (NPI) | 1407858632 |
Entity Type | Individual |
Gender | M |
Credential | M.D. |
Practice Address | 511 PALADIN DR,
GREENVILLE, NC, United States |
Practice Telephone | 252-752-8880 |
Practice Fax Number | 252-317-2092 |
Mailing Address | 511 PALADIN DR ,
GREENVILLE, NC, United States |
Mailing Telephone | 252-752-8880 |
Mailing Fax Number | 252-317-2091 |
Enumeration Date | 01-Jun-2005 |
Last Updated Date | 27-Dec-2011 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Internal Medicine, Nephrology | 200301132 | NC |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
891351R | MEDICAID (05) | NC |
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---|---|---|---|---|
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01-Aug-2017 |
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04-Jun-2022 |
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23-Feb-2007 |
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29-Aug-2023 |
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03-Feb-2023 | |
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20-Jan-2010 |
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27-Nov-2007 |
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05-Oct-2018 |
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24-Oct-2013 |
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11-Oct-2018 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1407858632 is the NPI number of WILLIAM THOMAS KENDRICK.
What is the specialty for WILLIAM THOMAS KENDRICK?The Specialty of WILLIAM THOMAS KENDRICK is Internal Medicine.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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