DR. KENNETH W LYLES (NPI# 1184706418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184706418 |
| Entity Type | Individual |
| Full Name | DR. KENNETH W LYLES |
| Credential | M.D. |
| Practice Address |
4101 N Roxboro St Durham NC 27704-2121 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
23405 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8953463 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144724220 | Kenneth Lyles | Counselor | 11100 Saint Clair Ave, Cleveland, OH 44108-1943 | 2018-03-22 |
| Street Address |
4101 N ROXBORO ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700884749 | Mariam Susan Latuga | Pediatrics | 4101 N Roxboro St, Durham, NC 27704-2121 | 2005-07-13 |
| 1265559660 | Susan E. Totten | Dietitian, Registered | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-03-23 |
| 1588789929 | Perri Anne Morgan | Physician Assistant | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-03-21 |
| 1629106687 | Melissa Merrill Burkett | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-03-01 |
| 1669516720 | Elisabeth A Smith | Psychiatry & Neurology | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-02-20 |
| 1932243995 | Kelly Ann Asher | Physician Assistant | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-02-16 |
| 1386783454 | Maria Baird Plentl | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27710-0001 | 2007-02-06 |
| 1588717037 | Debra Kohlman-trigoboff | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-01-19 |
| 1700937760 | Melanie Hicks Meadows | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-01-16 |
| 1659422608 | Jennifer Annette Tenhover | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710306204 | Serena Wong | Internal Medicine | 40 Duke Medicine Cir Rm 2512, Durham, NC 27710-2527 | 2014-04-10 |
| 1740409754 | Milta Oyola Little | Internal Medicine | 3003 Dumc, Durham, NC 27710-1811 | 2007-04-25 |
| 1609860204 | Robert Douglas Stewart | Internal Medicine | 305 Brook Chase Ln, Durham, NC 27705-2482 | 2005-09-09 |
| 1710349600 | Kristin Kuhn Hlebowitsh | Internal Medicine | 508 Fulton St, Durham, NC 27705 | 2016-03-22 |
| 1982916383 | Shiv Simrun Khosla | Internal Medicine | 508 Fulton St, Durham Va Medical Center, Box 182, Durham, NC 27705-3875 | 2010-07-14 |
| 1811152804 | Rayomand R Bengali | Internal Medicine | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 | 2008-07-19 |
| 1710158159 | Durham Physicians, Pa | Internal Medicine | 305 Brook Chase Ln, Durham, NC 27705-2482 | 2008-03-13 |
| 1912190281 | Essential Geriatric Care, Pa | Internal Medicine | 6000 Fayetteville Rd, Durham, NC 27713-9754 | 2007-08-21 |
| 1467674465 | Hong Yu | Internal Medicine | 6000 Fayetteville Rd, Durham, NC 27713-9754 | 2007-05-02 |
| 1972687036 | Kimberly Johnson | Internal Medicine | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-10-25 |
| Find all providers in DURHAM | ||||
Please comment or provide details below to improve the information on DR. KENNETH W LYLES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.