Kenneth Howard Prushik
M.D. | Pediatrics | Male
Kenneth Howard Prushik, M.D. is a Monroe, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kenneth Howard Prushik is
1994 Wellness Blvd Ste 110, Monroe, North Carolina - 28110-7768. He can be contacted on phone at
704-384-8460.
Kenneth Howard Prushik is a sole proprietor of his business.
NPI number (Unique professional ID) for Kenneth Howard Prushik is
1740290162 which was assigned by NPPES on 08 Aug, 2006 and it was last updated on 26 Apr, 2023.
Kenneth Howard Prushik license number is
2018-00935 for Pediatrics (208000000X) in North Carolina.
Kenneth Howard Prushik is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kenneth Howard Prushik basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kenneth Howard Prushik |
|---|
| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Kenneth Howard Prushik address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1994 Wellness Blvd Ste 110
Monroe, NC, 28110-7768
United States |
|---|
| Phone Number : | 704-384-8460 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1740290162 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Aug, 2006 |
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| Last Updated On : | 26 Apr, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth Howard Prushik are as mentioned. Primary taxonomy code for Kenneth Howard Prushik, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | No | 228253-1 | NY |
| 208000000X | Pediatrics | Yes | 2018-00935 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Kenneth Howard Prushik such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 02461633 | MEDICAID | NY | |
| 0600898 | Other (non-Medicare) | NY | GHI |
| 3C3318 | Other (non-Medicare) | NY | Healthnet |
| 556Y51 | Other (non-Medicare) | NY | Blue Cross/ Blue Shield |
| P2939540 | Other (non-Medicare) | NY | Oxford |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | kprushik543983@direct.novanthealth.org
| No affiliation |
|
| 1994 Wellness Blvd Ste 110,
Monroe, NC, 28110-7768
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 60447
Charlotte, NC, 28260-0447
United States |
|---|
Business Location:
Patients can refer following map for directions to
Kenneth Howard Prushik practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.