Kenneth D Lake (NPI# 1518981927, PAC ID# 6608815915) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1518981927 |
| PAC ID by PECOS | 6608815915 |
| Professional Enrollment ID | I20050427000029 |
| Full Name | Kenneth D Lake |
| Organization Legal Name | FIVE POINTS MEDICAL CENTER PC |
| Address |
300 Mack Rd Asheboro NC 27205-1066 |
| Phone Number | 3366251172 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1976 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4082671300 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 300 Mack Rd, Asheboro, NC 27205-1066 | 3366251172 | FIVE POINTS MEDICAL CENTER PC |
| Organization Legal Name | FIVE POINTS MEDICAL CENTER PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Gunter | Nurse Practitioner | Five Points Medical Center PC | 300 Mack Rd, Asheboro, NC 27205-1066 |
| Ashley Humble Wilson | Nurse Practitioner | Five Points Medical Center PC | 300 Mack Rd, Asheboro, NC 27205-1066 |
| Jenna B Hedrick | Nurse Practitioner | Five Points Medical Center PC | 300 Mack Rd, Asheboro, NC 27205-1066 |
| Chelsea Rice Poe | Nurse Practitioner | Five Points Medical Center PC | 300 Mack Rd, Asheboro, NC 27205-1066 |
| Monica N Bartorelli | Nurse Practitioner | Five Points Medical Center PC | 300 Mack Rd, Asheboro, NC 27205-1066 |
| Elysa C Graham | Nurse Practitioner | Five Points Medical Center PC | 300 Mack Rd, Asheboro, NC 27205-1066 |
| Street Address |
300 MACK RD |
| City | ASHEBORO |
| State | NC |
| Zip | 27205-1066 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Gunter | Nurse Practitioner | Five Points Medical Center PC | 300 Mack Rd, Asheboro, NC 27205-1066 |
| Ashley Humble Wilson | Nurse Practitioner | Five Points Medical Center PC | 300 Mack Rd, Asheboro, NC 27205-1066 |
| Jenna B Hedrick | Nurse Practitioner | Five Points Medical Center PC | 300 Mack Rd, Asheboro, NC 27205-1066 |
| Chelsea Rice Poe | Nurse Practitioner | Five Points Medical Center PC | 300 Mack Rd, Asheboro, NC 27205-1066 |
| Monica N Bartorelli | Nurse Practitioner | Five Points Medical Center PC | 300 Mack Rd, Asheboro, NC 27205-1066 |
| Elysa C Graham | Nurse Practitioner | Five Points Medical Center PC | 300 Mack Rd, Asheboro, NC 27205-1066 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Salyer | Chiropractic | Salyer Chiropractic Clinic P.a. | 180 Browers Chapel Rd, Asheboro, NC 27205-7983 |
| Matthew Salyer | Chiropractic | Salyer Chiropractic Clinic P.a. | 180 Browers Chapel Rd, Asheboro, NC 27205-7983 |
| Angela S Jones | Physical Therapy | 2650 Fox Ridge Rd, Asheboro, NC 27205-8911 |
| City | ASHEBORO |
| Zip Code | 27205 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ASHEBORO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kenneth D Lake.
| 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.