Kenneth Melton (NPI# 1003815994, PAC ID# 7719899145) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1003815994 |
| PAC ID by PECOS | 7719899145 |
| Professional Enrollment ID | I20031104000119 |
| Full Name | Kenneth Melton |
| Organization Legal Name | CAROLINA KIDNEY CARE PA |
| Address |
557 Sandhurst Dr Fayetteville NC 28304-4433 |
| Phone Number | 9104848114 |
| Gender | M |
| Credential | MD |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 4587576020 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340028 | CAPE FEAR VALLEY MEDICAL CENTER |
| 340050 | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 557 Sandhurst Dr, Fayetteville, NC 28304-4433 | 9104848114 | CAROLINA KIDNEY CARE PA |
| 810 Wesley Pines Rd, Lumberton, NC 28358-2358 | 9106181055 | CAROLINA KIDNEY CARE PA |
| Organization Legal Name | CAROLINA KIDNEY CARE PA |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sue S High | Nurse Practitioner | Carolina Kidney Care Pa | 526 Ramsey St, Fayetteville, NC 28301-4912 |
| Shyamal K Palit | Nephrology | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Maureen N Achuko | Nephrology | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Ezra L Mcconnell Iii | Nephrology | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Christine A Plummer | Nurse Practitioner | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Ananda R Gurram | Nephrology | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Moses Y Aboagye Kumi | Nephrology | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Lindsay Humphrey | Nurse Practitioner | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Patty K Cockman | Nurse Practitioner | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Emily X Sun | Nephrology | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Street Address |
557 SANDHURST DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip | 28304-4433 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shyamal K Palit | Nephrology | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Maureen N Achuko | Nephrology | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Ezra L Mcconnell Iii | Nephrology | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Christine A Plummer | Nurse Practitioner | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Ananda R Gurram | Nephrology | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Moses Y Aboagye Kumi | Nephrology | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Lindsay Humphrey | Nurse Practitioner | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Patty K Cockman | Nurse Practitioner | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Emily X Sun | Nephrology | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Delores M Williams | Nurse Practitioner | Carolina Kidney Care Pa | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachelle Kelly Porath | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Amir Sanii | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Abigail Michelle Weiskopf | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Cynthia Caskey Oberfelder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Frank C Snyder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Latondra Denise Stillwell Barker | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Cheryl J Fiser | Clinical Social Worker | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Amita S Shetty | Internal Medicine | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Yvonne W Lewis | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Sheila M Agustin | Nurse Practitioner | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Find all physicians in zip 28304 | |||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
| Specialty | NEPHROLOGY |
| City + Specialty | FAYETTEVILLE + NEPHROLOGY |
Please comment or provide details below to improve the information on Kenneth Melton.
| 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.