MEDICARE: DR. ANTHONY KECHANTE NJAPA D.O.

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	208D00000X	General Practice Physician	2006-00122	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	:	1881659019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY KECHANTE NJAPA D.O.

Provider Business Mailing Address
First Line	:	1444 S 17TH ST
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28401-6436
Country	:	US
Telephone Number	:	910-793-4311
Fax Number	:	910-793-4322

Provider Business Practice Location Address
First Line	:	1444 S 17TH ST
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28401-6436
Country	:	US
Telephone Number	:	910-793-4311
Fax Number	:	910-793-4322

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

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	10/11/2024

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