Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH EDWARD BODEK, M.D.
ActiveCardiovascular Disease · WINSTON SALEM, NC
Registration Details
- NPI Number
- 1871587923
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2005 (20.673864686357 yrs)
- Last Updated
- Nov 15, 2023
- Licenses
-
2013-01642 (NC)MD046703L (PA)MD046703L (PA)
Practice Information
- Address
-
186 KIMEL PARK DRSUITE 400WINSTON SALEM, NC, 271036946Browse NC providers · Browse ZIP 27103
- Phone
- 3362772000
- Fax
- 3362772050
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Nuclear Cardiology
Other Cardiovascular Disease Providers in WINSTON SALEM, NC
| Name | Credential | NPI |
|---|---|---|
| DR. CARLOS X PIMENTEL | MD | 1467457879 |
| DALANE KITZMAN | MD | 1396720678 |
| DAVID MCLEOD HERRINGTON | MD | 1932184215 |
| KILLIAN CONOR ROBINSON | MD | 1073598363 |
| FREDERIC ROSS KAHL | MD | 1437134632 |
| KERRY J. GILLILAND | MD | 1316918683 |
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.