Kenneth Klein

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

KENNETH KLEIN

Doing business as

East Carolina Dermatology and Skin Surgery, PLLC

Practice address

600 McCarthy Blvd
New Bern, NC 28562-5231

Phone

(252) 633-4200

Fax

(252) 633-9263

NPI assigned

Nov 11, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth L Klein, M.D.

Title

Physician/Owner

Phone

(252) 633-4200

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• East Carolina Dermatology and Skin Surgery, PLLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1235383738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625231",
            "telephone_number": "252-633-4200",
            "fax_number": "252-633-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625231",
            "telephone_number": "252-633-4200",
            "fax_number": "252-633-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH KLEIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "252-633-4200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8949680",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49680",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "207N00000X",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2183602",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F38755",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174507990",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Carolina Dermatology and Skin Surgery, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole R Kelly, NP
• Averi Lynn Kempf, NP
• Ashton Spruill Kennedy, PA-C
• James Kenner Jr., PT
• Kenneth E.Holton D.D.S.,P.a.
• Kenneth W. Gibbs, D.M.D., P.a.
• Carrie Sheek Kent, MD
• Debra Joyce Kenyear, LMFT
• Kevin J Guilfoyle Optician
• Mariah Keyes

• Dermatology Physician in New Bern, NC
• Providers in New Bern, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.