KENNETH G REARDON PA

ORTHOCAROLINA, PA

Dr KENNETH G REARDON PA is a male medical professional, specializing in Physician Assistant. He graduated in 1995.

Contact

ORTHOCAROLINA, PA

1915 RANDOLPH RD
CHARLOTTE
NC
282071101

Tel: 7043391000

KENNETH G REARDON PA Information

Npi 1417930074
Pac Id 0840235453
Professional Enrollment Id I20050623000982
Last Name REARDON
First Name KENNETH
Middle Name G
Suffix
Gender M
Credential PA
Medical School Name OTHER
Graduation Year 1995
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ORTHOCAROLINA, PA
Group Practice Pac Id 2062316821
Number Of Group Practice Members 401
Line 1 Street Address 1915 RANDOLPH RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CHARLOTTE
State NC
Zip Code 282071101
Phone Number 7043391000
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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