Active NPIIndividual provider

Kenneth C Peacock, MD

Orthopaedic Surgery in Mount Laurel, New Jersey

NPI Number1508388257
Practice location
523 Fellowship RD Ste 275, Mount Laurel, NJ 08054-3445
Fax
—
Last updated
July 14, 2017

Kenneth Charles Peacock is an Orthopaedic Surgery based in Mount Laurel, NJ. Kenneth Charles Peacock practices in Mount Laurel, NJ and has the professional credentials of MD. The NPI Number for Kenneth Charles Peacock is 1508388257 and holds a License No. 25MA04603300 (NJ). The current practice location address for Kenneth Charles Peacock is 523 Fellowship RD Ste 275, Mount Laurel, NJ 08054-3445 and can be reached out via phone at 856-235-7666.

Provider Profile Details

NPI Number
1508388257
Provider Name
Kenneth Charles Peacock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
523 Fellowship RD Ste 275, Mount Laurel, NJ 08054-3445
Phone Number
856-235-7666
Primary Taxonomy
Orthopaedic Surgery · 207X00000X
Sole Proprietor
No
Provider Enumeration Date
July 14, 2017
Last Update Date
July 14, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
523 Fellowship RD Ste 275
Mount Laurel, NJ 08054-3445
Zip
08054-3445
Phone Number
856-235-7666
Mount Laurel, NJ 08054Get directions →

Provider Business Mailing Address Details

Address
20 Anona Dr
Upper Saddle River, NJ 07458-1103
City
Upper Saddle River
State
NJ
Zip
07458-1103
Phone Number
203-609-3601

License Information

License Number
25MA04603300
License State
NJ
Taxonomy
Orthopaedic Surgery · 207X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kenneth C Peacock, MD?

The NPI number of Kenneth C Peacock, MD is 1508388257. It was assigned on July 14, 2017 and is currently active in the NPPES registry.

What is the specialty of Kenneth C Peacock, MD?

Kenneth C Peacock, MD is registered under the primary taxonomy Orthopaedic Surgery (code 207X00000X), licensed in NJ under license number 25MA04603300.

Where does Kenneth C Peacock, MD practice?

The practice location is 523 Fellowship RD Ste 275, Mount Laurel, NJ 08054-3445. The office can be reached at 856-235-7666 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508388257 directly on the NPPES registry website.

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