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Kenneth H Prushik, MD
Pediatric Adolescent Medicine Physician in Monroe, North Carolina
NPI 1740290162

Kenneth H Prushik is a Pediatric Adolescent Medicine Physician based in Charlotte, NC and is specialized in Adolescent Medicine. Kenneth H Prushik practices in Monroe, NC and has the professional credentials of MD. The NPI Number for Kenneth H Prushik is 1740290162 and holds a License No. 2018-00935 (North Carolina).

The current practice location address for Kenneth H Prushik is 1994 Wellness Blvd Ste 110, Monroe, NC and can be reached out via phone at 704-384-8460.

Location: 1994 Wellness Blvd Ste 110, Monroe, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740290162
Provider Name
Kenneth H Prushik
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1994 Wellness Blvd Ste 110, Monroe, NC, 28260-0447
Phone Number
704-384-8460
Fax Number
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0600898 01 NY GHI
556Y51 01 NY BLUE CROSS/ BLUE SHIELD
02461633 05 NY
3C3318 01 NY HEALTHNET
P2939540 01 NY OXFORD
institution
Provider Business Practice Location Address Details
Address
1994 Wellness Blvd Ste 110
City
Monroe
State
North Carolina
Zip
28110-7768
Phone Number
704-384-8460
Fax Number
person
Provider Business Mailing Address Details
Address
1994 Wellness Blvd Ste 110
City
Monroe
State
North Carolina
Zip
28110-7768
Phone Number
704-384-8460
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
228253-1 (New York)
Definition
A pediatrician 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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
2018-00935 (North Carolina)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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