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1548222458

NPI Code Detail

MEDICARE: KENNETH M FLOWE MD

MEDICARE: KENNETH M FLOWE 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	207P00000X	Emergency Medicine Physician	9300114	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
2	32815	OTHER	NC	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	930082165	OTHER	NC	RAILROAD

General Provider Information

NPI Number	:	1548222458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH M FLOWE MD

Provider Business Mailing Address
First Line	:	18 WIMBLEDON DR
Second Line	:
City	:	ROXBORO
State	:	NC
Zip	:	27573-4883
Country	:	US
Telephone Number	:	843-237-3378
Fax Number	:	843-237-5073

Provider Business Practice Location Address
First Line	:	301 BECKER AVE SW
Second Line	:
City	:	WILLMAR
State	:	MN
Zip	:	56201-3302
Country	:	US
Telephone Number	:	320-235-4543
Fax Number	:

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

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	06/08/2022

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Directions to “ KENNETH M FLOWE MD” Practice Location

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