Kenneth Banks MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18602 Issued in NC

Legal business name

KENNETH BANKS MD PA

Practice address

2949 New Bern Avenue
Suite 112a
Raleigh, NC 27610

Phone

(919) 255-1408

Fax

(919) 212-9029

NPI assigned

Jan 22, 2010

Organization subpart

No

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

Authorized official

Name

Kenneth Banks, MD

Title

Owner

Phone

(919) 269-9144

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kenneth Banks MD Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenndale Moore, M.D.

  • Cardiovascular Disease Physician
  • Raleigh, NC
  • NPI 1164485033
  NPD

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1679804116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277020707",
            "telephone_number": "919-255-1408",
            "fax_number": "919-212-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 NEW BERN AVENUE",
            "address_2": "SUITE 112A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "919-255-1408",
            "fax_number": "919-212-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH BANKS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-269-9144",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "18602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912978",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth Banks MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Lucille Kennedy, M.D.
• Taylor Kennedy
• Toqui Veronique Kennedy, MA, LPA
• Willard Lee Kennedy, M.D.
• Marsha Moore Kenner, RD, LDN
• Lauren Ann Kenney, LCSWA
• Casey Kenny
• Julia Elizabeth Anne Kenny, FNP
• Amanda Arthur Kent, FNP
• Robert Kent, MS, PA

• Family Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.