Male or Other

Benjamin Kegan PA-C

Physician Assistant in Hendersonville, NC(View on Map)

Full Name

Benjamin Kegan PA-C

NPI Number

1376931139

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/02/2015

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

001005444

Contact
Information

Purpose

Mailing
Location

Address

800 N JUSTICE ST
800 N JUSTICE ST

City

Hendersonville
Hendersonville

State

NC
NC

Postal Code

28791-3410
28791-3410

Country

US
US

Telephone Number

(828) 694-7696
(828) 694-7696

Identifiers

Identifier

P01627738
19ALM
NCM032A

Identifier State

NC
NC
NC

Identifier Issuer

RR MEDICARE
BCBS NC
MEDICARE PTAN

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

bkegan149524@direct.unc.nchie.net

Endpoint Description

Unknown

Use

Direct

Content Type

Other

Other Description:
cda/ccd/txt

Affiliation

N

Endpoint Location

800 N Justice StHendersonville, NC287913410US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/01/2021

Provider Address

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