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Dr. Lysle Kennedy Ailstock, MD
Body Imaging Physician in Greenville, North Carolina
NPI 1912989898

Lysle Kennedy Ailstock is a Body Imaging Physician based in Greenville, NC and is specialized in Body Imaging. Lysle Kennedy Ailstock practices in Greenville, NC and has the professional credentials of MD. The NPI Number for Lysle Kennedy Ailstock is 1912989898 and holds a License No. 9600437 (North Carolina).

The current practice location address for Lysle Kennedy Ailstock is 2101 W Arlington Blvd Ste 210, Greenville, NC and can be reached out via phone at 252-752-5000 and via fax at 252-931-7694.

Location: 2101 W Arlington Blvd Ste 210, Greenville, NC, 27833-0750
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Provider Profile Details
NPI Number
1912989898
Provider Name
Lysle Kennedy Ailstock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2101 W Arlington Blvd Ste 210, Greenville, NC, 27833-0750
Phone Number
252-752-5000
Fax Number
252-931-7694
Provider Enumeration Date
11/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8910461 05 NC
10461 01 NC BCBSNC
institution
Provider Business Practice Location Address Details
Address
2101 W Arlington Blvd Ste 210
City
State
Zip
27834-5758
Phone Number
252-752-5000
Fax Number
252-931-7694
person
Provider Business Mailing Address Details
Address
2101 W Arlington Blvd Ste 210
City
State
Zip
27834-5758
Phone Number
252-752-5000
Fax Number
252-931-7694
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
9600437 (North Carolina)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
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