NPI 1194435396

Kenneth Rivers

Practitioner Driver Fayetteville, NC

Practice location

Address: 5449 Tempe CT, Fayetteville, NC 28303-2749
Phone: (910) 583-4635
Mailing address: 220 Wildlife Way, Fayetteville, NC 28314-1378

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1194435396
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Nov 2022
Record last updated: 29 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.