MEDICARE: ELIZABETH KAHN MEINE MD

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	208000000X	Pediatrics Physician	28870	SC
2	208000000X	Pediatrics Physician	200101097	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	:	1861570269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH KAHN MEINE MD

Provider Business Mailing Address
First Line	:	1606 WELLINGTON AVE STE E
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28401-7704
Country	:	US
Telephone Number	:	910-452-1999
Fax Number	:	910-452-1883

Provider Business Practice Location Address
First Line	:	1606 WELLINGTON AVE STE E
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28401-7704
Country	:	US
Telephone Number	:	910-452-1999
Fax Number	:	910-452-1883

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	09/25/2013

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