Kenneth Banks (NPI# 1629026190, PAC ID# 6901948967) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1629026190 |
| PAC ID by PECOS | 6901948967 |
| Professional Enrollment ID | I20100128000890 |
| Full Name | Kenneth Banks |
| Address |
2949 New Bern Ave 112a Raleigh NC 27610-1248 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | FAMILY PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340069 | WAKEMED, RALEIGH CAMPUS |
| 340114 | REX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2949 New Bern Ave, 112a, Raleigh, NC 27610-1248 |
| Street Address |
2949 NEW BERN AVE 112A |
| City | RALEIGH |
| State | NC |
| Zip | 27610-1248 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenndale Moore | Cardiovascular Disease (cardiology) | 2949 New Bern Ave, Suite 112a, Raleigh, NC 27610-1248 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C Watson Jr. | Family Medicine | Wakemed Specialists Group, LLC | 2101 Garner Rd, Raleigh, NC 27610-0114 |
| Shelby M Shirley | Nurse Practitioner | Wakemed Specialists Group, LLC | 2101 Garner Rd, Raleigh, NC 27610-0114 |
| Kurt J Ehlert | Orthopedic Surgery | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Jennifer Clavier Desilver | Physical Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Michelle Stiles Deans | Physician Assistant | Wake Specialty Physicians LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Sharyn R Marcisak | Occupational Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Jonathan D Chappell | Orthopedic Surgery | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Luke William Hudson | Physical Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Megan Elizabeth Miller | Nurse Practitioner | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| William Giles | Physical Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Find all physicians in zip 27610 | |||
| City | RALEIGH |
| Zip Code | 27610 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | RALEIGH + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Kenneth Banks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.