Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH DOUGLAS LAKE, PA-C
ActiveMR. KENNETH DOUGLAS LAKE, PA-C is a Physician Assistant healthcare provider located in ASHEBORO, North Carolina. NPI 1518981927 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ASHEBORO, NC
Registration Details
- NPI Number
- 1518981927
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (20.04408968406 yrs)
- Last Updated
- Feb 4, 2019
- License
-
101208 (NC)
Practice Information
- Address
-
300 MACK RDASHEBORO, NC, 272051066Browse NC providers · Browse ZIP 27205
- Phone
- 3366251172
- Fax
- 3366256434
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ASHEBORO, NC
| Name | Credential | NPI |
|---|---|---|
| MR. RONALD LANGSTON ESTES | OPA-C | 1154301851 |
| LLOYD WILLIAM HICKMAN IX | — | 1902876956 |
| JASON VANN PHILLIPS | PA-C | 1396798401 |
| JODI ANN MOREHART | PA | 1386679025 |
| MEGHAN M. HALL | PA-C | 1841210580 |
| GRETA F O'BUCH | PA-C | 1689782989 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.