Kenneth K Cloninger (NPI# 1265411086, PAC ID# 6204976210) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1265411086 |
| PAC ID by PECOS | 6204976210 |
| Professional Enrollment ID | I20091223000487 |
| Full Name | Kenneth K Cloninger |
| Organization Legal Name | CLECO PRIMARY CARE NETWORK |
| Address |
5009 Fallston Rd Lawndale NC 28090-9585 |
| Phone Number | 7045388532 |
| Gender | M |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9032020573 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340021 | CAROLINAS HEALTHCARE SYSTEM CLEVELAND |
| 340032 | GASTON MEMORIAL HOSPITAL, INC. |
| 340013 | RUTHERFORD REGIONAL MEDICAL CENTER |
| 340037 | CAROLINAS HEALTHCARE SYSTEM KINGS MOUNTAIN |
| Address | Phone | Organization |
|---|---|---|
| 5009 Fallston Rd, Lawndale, NC 28090-9585 | 7045388532 | CLECO PRIMARY CARE NETWORK |
| 808 Schenck St, Shelby, NC 28150-3934 | 7044809344 | CLECO PRIMARY CARE NETWORK |
| Organization Legal Name | CLECO PRIMARY CARE NETWORK |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hazel F Mitchell | Nurse Practitioner | Cleco Primary Care Network | 812 W King St, Kings Mountain, NC 28086-2748 |
| Paul A Claroni | Physician Assistant | Cleco Primary Care Network | 808 Schenck St, Shelby, NC 28150-3934 |
| Anne T Rodgers | Physician Assistant | Cleco Primary Care Network | 808 Schenck St, Shelby, NC 28150-3934 |
| Laura M Allen | Nurse Practitioner | Cleco Primary Care Network | 5009 Fallston Rd, Lawndale, NC 28090-9585 |
| David Mcdowell | Nurse Practitioner | Cleco Primary Care Network | 5009 Fallston Rd, Lawndale, NC 28090-9585 |
| Anne L Brock | Nurse Practitioner | Cleco Primary Care Network | 812 W King St, Kings Mountain, NC 28086-2748 |
| Alan V Jubane | Family Medicine | Cleco Primary Care Network | 812 W King St, Kings Mountain, NC 28086-2748 |
| Connie Huyen Dao | Physician Assistant | Cleco Primary Care Network | 812 W King St, Kings Mountain, NC 28086-2748 |
| Yelena Litvinchuk | Physician Assistant | Cleco Primary Care Network | 808 Schenck St, Shelby, NC 28150-3934 |
| Jane E Denno | Nurse Practitioner | Cleco Primary Care Network | 812 W King St, Kings Mountain, NC 28086-2748 |
| Street Address |
5009 FALLSTON RD |
| City | LAWNDALE |
| State | NC |
| Zip | 28090-9585 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura M Allen | Nurse Practitioner | Cleco Primary Care Network | 5009 Fallston Rd, Lawndale, NC 28090-9585 |
| David Mcdowell | Nurse Practitioner | Cleco Primary Care Network | 5009 Fallston Rd, Lawndale, NC 28090-9585 |
| City | LAWNDALE |
| Zip Code | 28090 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAWNDALE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kenneth K Cloninger.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.