MEDICARE: ALAMANCE PAIN CENTER PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician		NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134108350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAMANCE PAIN CENTER PLLC

Provider Business Mailing Address
First Line	:	PO BOX 358
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27216-0358
Country	:	US
Telephone Number	:	336-585-1770
Fax Number	:

Provider Business Practice Location Address
First Line	:	1236 HUFFMAN MILL RD
Second Line	:	STE 2000
City	:	BURLINGTON
State	:	NC
Zip	:	27215-8700
Country	:	US
Telephone Number	:	336-585-1770
Fax Number	:

Authorized Official
Title or Position	:	PRES
Name	:	WILLIAM K KEPHART
Credential	:	MD
Telephone Number	:	336-585-1770

Provider Enumeration Date	:	01/16/2006
Last Update Date	:	07/21/2022

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Directions to “ALAMANCE PAIN CENTER PLLC ” Practice Location

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