Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH P MANKIN, MD
ActivePediatric Orthopaedic Surgery · RALEIGH, NC
Registration Details
- NPI Number
- 1528061348
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2005 (20.910464813541 yrs)
- Last Updated
- Nov 22, 2014
- Licenses
-
200001509 (NC)200001509 (NC)
Practice Information
- Address
-
4301 LAKE BOONE TRLSTE 205RALEIGH, NC, 276077507Browse NC providers · Browse ZIP 27607
- Phone
- 9199770427
- Fax
- 9199770896
- Primary Specialty
-
Pediatric Orthopaedic Surgery
207XP3100X
- Additional Specialty
- Pediatric Orthopaedic Surgery
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.